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

Jacob Waggoner

Individual provider Professional Counselor · NPI 1619790003

Jacob Waggoner is a Professional Counselor in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2043 W Belmont Ave Ste 1
Chicago, IL 60618-6796
Phone: (312) 324-4502
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1619790003
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 4, 2024
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

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