Waggoner, Melissa Kay

Waggoner, Melissa Kay is an individual health care provider with primary practice located at 1901 Dutton Dr Suite D, San Marcos TX 78666-7573. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Waggoner, Melissa Kay can be contacted via phone (512) 558-2002.

Contact Information

Primary practice address
1901 Dutton Dr Suite D San Marcos TX 78666-7573
Phone: (512) 558-2002
Fax: (512) 392-1643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 35269 Texas

Profile Details

NPI number 1093874265
LBN Legal business name Waggoner, Melissa Kay
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093874265 NPPES
Texas Other 35269 LCSW LICENSE

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