Mr Grant Jordan Waggoner, LMFT - Counselor in Dana Point, CA

Mr Grant Jordan Waggoner, LMFT is a Counselor - Mental Health based in Dana Point, California. Mr Grant Jordan Waggoner is licensed to practice in California (license number 125452) and his current practice location is 24632 San Juan Ave Ste 110, Dana Point, California. He can be reached at his office (for appointments etc.) via phone at (702) 533-8324.

NPI number for Mr Grant Jordan Waggoner is 1346911450 and his current mailing address is 25412 Coach Springs Ln, Laguna Hills, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346911450.

Contact Information

Mr Grant Jordan Waggoner, LMFT
24632 San Juan Ave Ste 110,
Dana Point, CA 92629-3830
(702) 533-8324
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Grant Jordan Waggoner
GenderMale
SpecialityCounselor - Mental Health
Location24632 San Juan Ave Ste 110, Dana Point, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1346911450
  • Provider Enumeration Date: 09/28/2021
  • Last Update Date: 09/28/2021

Medical Identifiers

Medical identifiers for Mr Grant Jordan Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346911450NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 125452 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Grant Jordan Waggoner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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