person
Tina L Waggoner
Mental Health Counselor in San Luis Obispo, California
NPI 1407547490

Tina L Waggoner is a Mental Health Counselor based in San Luis Obispo, CA and is specialized in Mental Health. Tina L Waggoner practices in San Luis Obispo, CA. The NPI Number for Tina L Waggoner is 1407547490 and holds a License No. (California).

The current practice location address for Tina L Waggoner is 784 High St, San Luis Obispo, CA and can be reached out via phone at 805-540-6500 and via fax at 805-540-6501.

Location: 784 High St, San Luis Obispo, CA, 93406-5408
person
Provider Profile Details
NPI Number
1407547490
Provider Name
Tina L Waggoner
Credential
Provider Entity Type
Individual
Gender
Female
Address
784 High St, San Luis Obispo, CA, 93406-5408
Phone Number
805-540-6500
Fax Number
805-540-6501
Provider Enumeration Date
05/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
784 High St
City
State
Zip
93401-5243
Phone Number
805-540-6500
Fax Number
805-540-6501
person
Provider Business Mailing Address Details
Address
784 High St
City
State
Zip
93401-5243
Phone Number
805-540-6500
Fax Number
805-540-6501
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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