Individual
MS. COURTNEY PATRICE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
448 LAKESHORE PKWY STE 110, ROCK HILL, SC 29730-4264
(803) 323-1779
(803) 329-3319
Mailing address
312 N MYERS ST STE 213, CHARLOTTE, NC 28202-3043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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