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Individual
EVETTE CHERREL WIGGINTON
Active
Individual
EVETTE CHERREL WIGGINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
16461
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
13870
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13870
LCDC
TX
01
—
16461
LPC
TX
Enumeration date
01/07/2019
Last updated
01/07/2019
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