Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kenneth Ray Waggoner, LPC, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1518038041

Mr. Kenneth Ray Waggoner, LPC, LADC is an Addiction (Substance Use Disorder) Counselor in Fort Sill, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

4301 Mow-Way Rd
Fort Sill, OK 73503-6300
Phone: (580) 458-2134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 415 (OK)

Record details

NPI number1518038041
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , LADC
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESJuly 8, 2007

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