Tina L Waggoner
Tina L Waggoner is a Mental Health Counselor in San Luis Obispo, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
784 High StSan Luis Obispo, CA 93401-5243
Phone: (805) 540-6500
Fax: (805) 540-6501
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1407547490 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 19, 2023 |
| Last updated in NPPES | May 19, 2023 |
| Certification date | May 18, 2023 |
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