Steven Dale Waggoner in Ashland - Marriage & Family Therapist
Steven Dale Waggoner - NPI 1215159652
Steven Dale Waggoner is a Marriage & Family Therapist in Ashland, Oregon. Steven Dale Waggoner practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Steven Dale Waggoner is 1215159652. The last update date is 2018-08-23.
Steven Dale Waggoner's current location address is 300 Wimer St, Ashland, Oregon. You can contact this provider via phone number 5417781336. The mailing address for Steven Dale Waggoner is 300 Wimer St, Ashland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Dale Waggoner |
|---|---|
| Address | 300 Wimer St, Ashland, Oregon |
| Phone Number | 5417781336 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MA |
NPI Number Detail
| NPI Number | 1215159652 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2018-08-23 |
Provider Mailing Address Detail
| Address | 300 Wimer St |
|---|---|
| City | Ashland |
| State | Oregon (OR) |
| Post Code | 97520 |
| Phone Number | 5417781336 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | LMFT85869 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique identifier code issued to Steven Dale Waggoner by the Centers for Medicare & Medicaid Services (CMS)?
The Steven Dale Waggoner has been assigned the NPI (National Provider Identifier) 1215159652. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Steven Dale Waggoner is physically located?
The Steven Dale Waggoner is situated at the following address: 300 Wimer St, Ashland, OR 97520.
What is the Steven Dale Waggoner's specialty and taxonomy code?
The Steven Dale Waggoner's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1215159652 to Steven Dale Waggoner?
The Steven Dale Waggoner received its 1215159652 assignment from the Centers for Medicare & Medicaid Services on 2007-05-03.
As of what date was the information regarding Steven Dale Waggoner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Steven Dale Waggoner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-08-23.
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