Shuree Waggoner, LMHC
Counselor, Mental Health in Redmond, WA. Individual provider (NPI-1).
NPI number1144546292
StatusActive
Last updated in NPPESOct 10, 2013
Details
- NPI
- 1144546292
- Entity type
- Individual (NPI-1)
- Name
- Shuree Waggoner
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 14, 2010
- Last updated
- Oct 10, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LH60129959 | WA | Yes |
Practice location
15600 Redmond Way Ste 101Redmond, WA 98052-3862
Phone 206-465-2981
Mailing address
15600 Redmond Way Ste 101Redmond, WA 98052-3862
Phone 206-465-2981
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