KRISTI DEANNA WAGGENER

PINEVILLE, LA
NPI1174618813
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  733)
Enumeration Date2006-10-04
Last Update Date2007-07-08
Business Address
Mrs. KRISTI DEANNA WAGGENER LAC
UNIT 6 MEADOW LANE CENTRAL LA STATE HOSPITAL - RED RIVER TREATMENT CENTER
PINEVILLE, LA 71360
Phone number: 318-484-6609
Mailing Address
Mrs. KRISTI DEANNA WAGGENER LAC
417 HIGHWAY 115
DEVILLE, LA 71328
Phone number: 318-466-1088
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