KAITLIN WAGGONER

MOUNT VERNON, OH
NPI1649620246
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.140594)
Enumeration Date2016-06-15
Last Update Date2016-06-15
Business Address
-- KAITLIN WAGGONER CDCA
106 E GAMBIER ST
MOUNT VERNON, OH 43050-3510
Phone number: 740-397-2660
Mailing Address
-- KAITLIN WAGGONER CDCA
106 E GAMBIER ST
MOUNT VERNON, OH 43050-3510
Phone number: 740-397-2660