Waggoner, Vivian Lee

Waggoner, Vivian Lee is an individual health care provider with primary practice located at 2640 Breslauer Way , Redding CA 96001-4246. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Waggoner, Vivian Lee can be contacted via phone (530) 225-5200.

Contact Information

Primary practice address
2640 Breslauer Way Redding CA 96001-4246
Phone: (530) 225-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1679786636
LBN Legal business name Waggoner, Vivian Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jul 8th, 2007 - about 17 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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