Individual
MR. DAVID WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, PHD
Contact information
Practice address
4656 BRAMBLETON AVE, ROANOKE, VA 24018-3437
(540) 772-8043
(540) 772-8242
Mailing address
6031 CHAGALL DR, ROANOKE, VA 24018-5289
(540) 772-2995
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002026
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031113
VALUE OPTIONS
VA
01
—
259615
ANTHEM BCBS
VA
Enumeration date
10/19/2006
Last updated
07/08/2007
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