Individual
BLANCA SUSANA WIGGINS ZAVALA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2360 E CALVADA BLVD STE D, PAHRUMP, NV 89048-3994
(702) 809-7631
Mailing address
1980 W WINDSONG LN, PAHRUMP, NV 89048-4210
(702) 809-7631
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
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
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
03/18/2026
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