MR. Steven Dale Waggoner, MA

NPI #1215159652 in Yreka, California

Provider Information

NPI Number
1215159652
Entity Type
Individual
Name
MR. Steven Dale Waggoner, MA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Marriage & Family Therapist
Credential
MA
Enumeration Date
May 3, 2007
Last Updated
Aug 23, 2018

Practice Location

Address
2060 CAMPUS DR
City
Yreka
ZIP Code
96097
Phone
(530) 841-4100

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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