MRS. Kelly Waggoner, LPCC

NPI #1730501511 in Lilburn, Georgia

Provider Information

NPI Number
1730501511
Entity Type
Individual
Name
MRS. Kelly Waggoner, LPCC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LPCC
Enumeration Date
Jan 13, 2014
Last Updated
Jul 20, 2020

Practice Location

Address
5165 BOWERS BROOK DR SW
State
Georgia
ZIP Code
30047-5172
Phone
(505) 695-1613

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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