NPI age
12 years
Enumerated 2014-01-13
● Active
Type 1 · Individual
MRS. Kelly Waggoner, LPCC
Waggoner is 1 of 17 counselor providers in Lilburn and 1 of 5527 in Georgia.
Primary specialty
Counselor
Licensed in
NM
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-07-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 5527 active counselor providers in Georgia.
NPI age
12 years
↑ 7 yr above median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-01Enumerated in NPPES
2014
2026
Where they practice
Practice location
5165 Bowers Brook Dr Sw
Lilburn, GA 300475172
Mailing address
5165 Bowers Brook Dr Sw
Lilburn, GA 300475172
Additional practice locations
1 secondary location on file with NPPES.
Location 2
11005 Spain Rd Ne Ste 21
Albuquerque, NM 871111871
Specialties
-
Counselor PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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