Individual
MARCELLA MARIE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ME.D., LPC
Contact information
Practice address
210 S VILLAGE ST, WOODVILLE, TX 75979-5243
(866) 573-8001
(866) 573-8008
Mailing address
2300 HIGHWAY 365 STE 110, NEDERLAND, TX 77627-6251
(409) 729-0400
(409) 729-0453
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14425
TX
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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