Individual
MRS. HELEN RAMONA WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA., LCDC
Contact information
Practice address
1401 COLUMBUS AVE, WACO, TX 76701-1120
(254) 753-3653
Mailing address
2505 WASHINGTON AVE, WACO, TX 76710-7446
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9411
TX
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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