Organization
SAFE HAVEN REFUGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA K WAGGONER MA, LPC, NCC (DIRECTOR OF COUNSELING)
(844) 212-1382
Entity
Organization
Contact information
Practice address
7924 BROADWAY ST, STE 108, PEARLAND, TX 77581-7932
(281) 678-4622
Mailing address
7924 BROADWAY ST, STE 108, PEARLAND, TX 77581-7932
(281) 678-4622
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
65480
TX
251V00000X
Voluntary or Charitable Agency
Primary
65480
TX
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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