Individual
JACOB AARON WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2829 MONTANA AVE STE 203, EL PASO, TX 79903-2421
(915) 269-5892
Mailing address
2829 MONTANA AVE STE 203, EL PASO, TX 79903-2421
(915) 269-5892
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/17/2026
Last updated
01/17/2026
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