# BLANCA SUSANA WIGGINS ZAVALA LOPEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083440549
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | — | Yes |
| 103TP2701X | Group Psychotherapy Psychologist | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 174H00000X | Health Educator | — | — | — |
| 225100000X | Physical Therapist | — | — | — |
| 225400000X | Rehabilitation Practitioner | — | NULL | Yes |

## Other

- **Enumeration date:** 09/11/2024
- **Last updated:** 03/18/2026