Jerry Waggoner LPC LLC
Jerry Waggoner LPC LLC is a Community/Behavioral Health Agency in Lake Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2011.
- Licensed in
- MO
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1000 Lake Saint Louis Blvd Ste 260Lake Saint Louis, MO 63367-2924
Phone: (314) 994-9344
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 001573 (MO) |
|---|
Record details
| NPI number | 1548546583 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerry Waggoner — Sole Member · (636) 633-1980 |
| NPI enumerated | October 21, 2011 |
| Last updated in NPPES | October 21, 2011 |
| Mailing address | 36 S Lake Dr, Hillsboro, MO 63050-4424 |
Other providers in Lake Saint Louis
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Reclaiming Hope
8676 Orf Rd, Lake Saint Louis, MO 63367-4286 · (636) 248-9644