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General NPI Number Information
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NPI Number | 1194060434
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Entity Type | Individual
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Provider Name | ANGELA K WAGGONER PH.D., LPC-S , NCC
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Gender | Female
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Dates
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Enumeration Date | 11/27/2012
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 1106 S FRIENDSWOOD DR STE B
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-5567
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Country | US
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Telephone | 832-872-2077
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Fax | 832-872-2033
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Provider Business Mailing Address
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Address Line | 4808 FAIRMONT PKWY # 361
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City | PASADENA
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State | TX
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Zip | 77505-3722
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Country | US
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Telephone | 281-678-4622
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Fax | 832-872-2033
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 65480
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 65480
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701007809
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 1245389
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License Number State | TX
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