Individual
MS. BRENDA S. WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C., N.C.C.
Contact information
Practice address
100 N. CENTRAL EXPRESSWAY, SUITE 402, RICHARDSON, TX 75080
(972) 542-7017
Mailing address
705 N. BENGE STREET, MCKINNEY, TX 75069
(972) 238-1200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14417
TX
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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