Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH RAY WAGGONER, LPC, LADC
ActiveMR. KENNETH RAY WAGGONER, LPC, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in FORT SILL, Oklahoma. NPI 1518038041 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · FORT SILL, OK
Registration Details
- NPI Number
- 1518038041
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 13, 2006 (19.7142543303 yrs)
- Last Updated
- Jul 8, 2007
- License
-
415 (OK)
Practice Information
- Address
-
4301 MOW-WAY ROADFORT SILL, OK, 735036300Browse OK providers · Browse ZIP 73503
- Phone
- 5804582134
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in FORT SILL, OK
| Name | Credential | NPI |
|---|---|---|
| MR. SOPHIA OLAITAN OYETUNBI | ASAP COUNSELOR | 1740586155 |
| MRS. POLLY JANE GUTHRIE | LADC | 1104109198 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.