| Mr Kenneth Ray Waggoner, LPC, LADC | |
|
4301 Mow-way Road, Fort Sill, OK 73503-6300 | |
| (580) 458-2134 | |
| Not Available |
| Full Name | Mr Kenneth Ray Waggoner |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4301 Mow-way Road, Fort Sill, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518038041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 415 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Ray Waggoner, LPC, LADC 2103 Nw 55th St, Lawton, OK 73505-3117 Ph: (580) 248-5425 | Mr Kenneth Ray Waggoner, LPC, LADC 4301 Mow-way Road, Fort Sill, OK 73503-6300 Ph: (580) 458-2134 |
Mrs. Cynthia Marie Osuna, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4301 Wilson St, Fort Sill, OK 73503 Phone: 580-442-4562 | |
Mrs. Polly Jane Guthrie, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4301 Wilson St, Reynolds Army Community Hospital, Fort Sill, OK 73503 Phone: 580-558-2646 Fax: 580-558-2314 | |
Stephania C Barthel, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4301 Wilson St, Fort Sill, OK 73503 Phone: 580-558-2612 | |
Tonya Mckemie, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4301 Wilson St, Fort Sill, OK 73503 Phone: 580-442-8748 | |
Francis Paul Jette, SOCIAL WORKER Counselor Medicare: Medicare Enrolled Practice Location: 4301 Wilson Street, Rahc Sudcc, Fort Sill, OK 73503 Phone: 580-558-8432 Fax: 580-442-7950 | |
Susan Ann Shaw, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4301 Mow-way Road, Reynolds Army Community Hospital, Fort Sill, OK 73505 Phone: 580-458-2134 |