Individual
BRIAN WIGINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
663 W 950 S, BRIGHAM CITY, UT 84302-3021
(435) 723-3176
Mailing address
4939 S 425 W APT 3, WASHINGTON TERRACE, UT 84405-6371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8442856-6004
UT
101YM0800X
Mental Health Counselor
8442856-6009
UT
104100000X
Social Worker
8442856-3503
UT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285736553
—
UT
Enumeration date
09/17/2014
Last updated
09/20/2021
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