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Individual

BRIAN T WIGGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
875 W MORENO AVE, COLORADO SPRINGS, CO 80905-1731
(719) 572-6200
(719) 572-6427
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
(719) 572-6100

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/10/2007
Last updated
07/08/2007
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