Individual
MICHELLE WIGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
521 CLANTON RD, CHARLOTTE, NC 28217-1369
(704) 332-9001
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(704) 332-8001
(704) 714-1182
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20191
NC
Other
Enumeration date
12/08/2016
Last updated
12/20/2018
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