Individual
LUKE SAMUEL WIGDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1653 E MAIN ST, EASLEY, SC 29640-3791
(888) 711-2896
Mailing address
1653 E MAIN ST, EASLEY, SC 29640-3791
(888) 711-2896
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
SC
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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