| Mrs Kelly Waggoner, LPCC | |
|
5165 Bowers Brook Dr Sw, Lilburn, GA 30047-5172 | |
| (505) 695-1613 | |
| Not Available |
| Full Name | Mrs Kelly Waggoner |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 5165 Bowers Brook Dr Sw, Lilburn, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730501511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CCHM0207621 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelly Waggoner, LPCC 5165 Bowers Brook Dr Sw, Lilburn, GA 30047-5172 Ph: (505) 695-1613 | Mrs Kelly Waggoner, LPCC 5165 Bowers Brook Dr Sw, Lilburn, GA 30047-5172 Ph: (505) 695-1613 |
Ameleo D Manuel, M.A. LPCA. NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4566 Lawrenceville Hwy Nw Ste 101, Lilburn, GA 30047 Phone: 770-217-7563 Fax: 770-818-5753 | |
Ms. Tinesha A Sallard, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4388 Amberleaf Walk, Lilburn, GA 30047 Phone: 267-304-5909 | |
Dr. David S. White, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1025 Killian Hill Rd Sw Ste J, Lilburn, GA 30047 Phone: 857-277-3352 | |
Judi Michelle Winbush, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1373 Crooked Tree Ct Sw, Lilburn, GA 30047 Phone: 404-452-0324 | |
Nicole Fuentes, LPC, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5440 Lawrenceville Hwy Nw, Lilburn, GA 30047 Phone: 678-802-9355 Fax: 678-802-9355 | |
Ms. Melodie Anne (or Desanto) Head, Counselor Medicare: Not Enrolled in Medicare Practice Location: 733 Village Creek Dr Sw, Lilburn, GA 30047 Phone: 770-381-1273 | |
Dr. Lisa Monette Tait, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5238 Ashley Dr Sw, Lilburn, GA 30047 Phone: 770-356-0101 Fax: 770-925-0305 |