Mr Grant Jordan Waggoner, LMFT | |
24632 San Juan Ave Ste 110, Dana Point, CA 92629-3830 | |
(702) 533-8324 | |
Not Available |
Full Name | Mr Grant Jordan Waggoner |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 24632 San Juan Ave Ste 110, Dana Point, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346911450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 125452 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Grant Jordan Waggoner, LMFT 25412 Coach Springs Ln, Laguna Hills, CA 92653-5861 Ph: (702) 533-8324 | Mr Grant Jordan Waggoner, LMFT 24632 San Juan Ave Ste 110, Dana Point, CA 92629-3830 Ph: (702) 533-8324 |
Mrs. Torrey Dawn Commisso, LICENSED PROFESSIONA Counselor Medicare: Not Enrolled in Medicare Practice Location: 34092 Violet Lantern, Suite 100, Dana Point, CA 92629 Phone: 206-669-4288 | |
Jennifer Lyons, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 34071 La Plz Ste 140, Dana Point, CA 92629 Phone: 949-306-5101 | |
Larissa Emily Kibort, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 34185 Violet Lantern St Unit 103, Dana Point, CA 92629 Phone: 949-356-7952 | |
Amanda Demler, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 32466 Crown Valley Pkwy Apt 102, Dana Point, CA 92629 Phone: 760-500-5262 | |
Josh D Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 32851 Buccaneer St, Dana Point, CA 92629 Phone: 949-289-2138 | |
Cathryn Ann Kruger, APCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 33812 Malaga Dr Apt B, Dana Point, CA 92629 Phone: 847-337-2700 | |
Dr. Edward Kaufman, M.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 33971 Selva Rd, Suite 125, Dana Point, CA 92629 Phone: 949-488-3332 Fax: 949-488-7840 |