BRANDON WAGGONER

LYNCHBURG, VA
NPI1568013274
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: VA  0701008633)
Enumeration Date2019-09-24
Last Update Date2019-09-24
Business Address
BRANDON WAGGONER LPC
22174 TIMBERLAKE RD STE D
LYNCHBURG, VA 24502-5055
Phone number: 434-525-9006
Mailing Address
BRANDON WAGGONER LPC
6216 PAWTUCKET DR
LYNCHBURG, VA 24502-5216
Phone number: