Phil Waggoner

NPI #1871651422 in Lewiston, Idaho

Provider Information

NPI Number
1871651422
Entity Type
Organization
Organization Name
Phil Waggoner
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Dec 5, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1720 18TH AVE
State
Idaho
ZIP Code
83501-4047
Phone
(208) 746-4097

Authorized Official

Name
MRS. DANA K BOYD
Title
BUSINESS OFC MANAGER OWNER
Phone
(208) 746-4097

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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