Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY WAGGONER, LPCC
Active Sole ProprietorMRS. KELLY WAGGONER, LPCC is a Mental Health Counselor healthcare provider located in LILBURN, Georgia. NPI 1730501511 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · LILBURN, GA
Registration Details
- NPI Number
- 1730501511
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 13, 2014 (12.394540999833 yrs)
- Last Updated
- Jul 20, 2020
- License
-
CCHM0207621 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5165 BOWERS BROOK DR SWLILBURN, GA, 300475172Browse GA providers · Browse ZIP 30047
- Phone
- 5056951613
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in LILBURN, GA
| Name | Credential | NPI |
|---|---|---|
| KAREN J GROBAN | L.C.S.W. | 1225082456 |
| MS. MELODIE ANNE (OR DESANTO) HEAD | — | 1083819395 |
| MS. TINESHA A SALLARD | MS | 1013487230 |
| MRS. SHARLENE HILTON MCCLENDON | LPC | 1740754639 |
| LACEY MIGNON RHODES | — | 1235729229 |
| TERESA LYNN RUTLEDGE | LPC | 1689241077 |
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.