Waggoner, Linda K
Waggoner, Linda K is an individual health care provider with primary practice located at 493 Eastland , Twin Falls ID 83303-0047. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Waggoner, Linda K can be contacted via phone (208) 732-0995.Contact Information
Primary practice address
493 Eastland
Twin Falls ID 83303-0047
Phone: (208) 732-0995
Fax: (208) 732-0993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC203 | Idaho |
Profile Details
| NPI number | 1023258704 |
|---|---|
| LBN Legal business name | Waggoner, Linda K |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2009 |
| Last updated | Feb 20th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023258704 | NPPES |
| Idaho | MEDICAID | 805997100 |
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