Individual
BRANDON WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
22174 TIMBERLAKE RD STE D, LYNCHBURG, VA 24502-5055
(434) 525-9006
Mailing address
206 HIGHLANDS RD STE 200, HURRICANE, WV 25526-8402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701008633
VA
Other
Enumeration date
09/24/2019
Last updated
10/13/2025
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