Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHIL WAGGONER
Active OrganizationPHIL WAGGONER is a Addiction (Substance Use Disorder) Counselor organization located in LEWISTON, Idaho. NPI 1871651422 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LEWISTON, ID
Registration Details
- NPI Number
- 1871651422
- Provider Type
- Organization
- NPI Issued
- Dec 5, 2006 (19.680056592802 yrs)
- Last Updated
- Aug 22, 2020
- License
-
138 (ID)
Practice Information
- Address
-
1720 18TH AVELEWISTON, ID, 835014047Browse ID providers · Browse ZIP 83501
- Phone
- 2087464097
- Fax
- 2087462294
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Organizations in LEWISTON, ID
| Name | NPI |
|---|---|
| RIVERSIDE RECOVERY LLC | 1366827255 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.