Individual
MRS. DONITA RENEE WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED. LPC
Contact information
Practice address
1625 W OWEN K GARRIOTT RD, SUITE F, ENID, OK 73703-5653
(580) 747-8574
(580) 233-6932
Mailing address
1625 W OWEN K GARRIOTT RD, SUITE F, ENID, OK 73703-5653
(580) 747-8574
(580) 233-6932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
OK
Other
Enumeration date
06/13/2009
Last updated
06/13/2009
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