Individual
CARLY WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
7384 JOHN LEBLANC BLVD, SORRENTO, LA 70778-3231
(225) 310-2600
Mailing address
7384 JOHN LEBLANC BLVD, SORRENTO, LA 70778-3231
(225) 310-2600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
LA
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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