Individual
JERE S WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
187 MT VERNON ST, RIDGEFIELD PARK, NJ 07660-1830
(201) 440-5650
Mailing address
187 MT VERNON ST, RIDGEFIELD PARK, NJ 07660-1830
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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