Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gerald Waggoner, LPC

Individual provider Professional Counselor · NPI 1932619376

Gerald Waggoner, LPC is a Professional Counselor in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2017
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

9378 Olive Blvd Ste 317
Saint Louis, MO 63132-3224
Phone: (314) 994-9344
Fax: (314) 994-3007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 001573 (MO)

Record details

NPI number1932619376
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 11, 2017
Last updated in NPPESOctober 11, 2017

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