Individual
CYNDI WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
390 NE 2ND ST, ONTARIO, OR 97914-2513
(541) 406-8647
Mailing address
390 NE 2ND ST, ONTARIO, OR 97914-2513
(541) 406-8647
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
08-08-58
OR
Other
Enumeration date
04/26/2011
Last updated
02/11/2025
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