Individual
MACK WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1555 E FLAMINGO RD, STE 158, LAS VEGAS, NV 89119-5258
(702) 385-9097
Mailing address
3318 N DECATUR BLVD UNIT 1167, LAS VEGAS, NV 89130-3235
(702) 628-6705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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