Kathleen A Waggoner in Farmington - Professional
Kathleen A Waggoner - NPI 1609971886
Kathleen A Waggoner is a Professional in Farmington, Missouri. Kathleen A Waggoner practices all healthcare services and medical treatments related to Professional. The NPI Number for Kathleen A Waggoner is 1609971886. The last update date is 2019-09-25.
Kathleen A Waggoner's current location address is 400 N Washington St Ste 111, Farmington, Missouri. You can contact this provider via phone number 5736641117 and fax number 5736641117. The mailing address for Kathleen A Waggoner is 400 N Washington St Ste 111, Farmington, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen A Waggoner |
|---|---|
| Address | 400 N Washington St Ste 111, Farmington, Missouri |
| Phone Number | 5736641117 |
| Fax Number | 5736641117 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1609971886 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2019-09-25 |
Provider Mailing Address Detail
| Address | 400 N Washington St Ste 111 |
|---|---|
| City | Farmington |
| State | Missouri (MO) |
| Post Code | 636401731 |
| Phone Number | 5736641117 |
| Fax Number | 5736641117 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 2004014231 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 202194 | MO | BLUE CROSS BLUE SHIELD | |
| 738553 | MO | HEALTHLINK | |
| 499297703 | MO | -- | |
| 431344414WAG | MO | UNITY MANAGED MENTAL HEAL |
Post Comment/ Review Below
What is the unique identifier code issued to Kathleen A Waggoner by the Centers for Medicare & Medicaid Services (CMS)?
The Kathleen A Waggoner has been assigned the NPI (National Provider Identifier) 1609971886. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Kathleen A Waggoner?
The Kathleen A Waggoner is physically situated at 400 N Washington St Ste 111, in the city of Farmington, state of MO, with the postal code 636401731.
What is the Kathleen A Waggoner's specialty and taxonomy code?
The Kathleen A Waggoner's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.
On what date was the 1609971886 assigned to Kathleen A Waggoner?
The Kathleen A Waggoner was issued its 1609971886 on 2006-09-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kathleen A Waggoner's details last updated?
The information pertaining to the Kathleen A Waggoner, including its address, specialty, and other details, was most recently updated on 2019-09-25.
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