Individual
LISA WIGFALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCASA
Contact information
Practice address
3552 BEATTIES FORD RD, CHARLOTTE, NC 28216-3742
(704) 394-8968
Mailing address
3552 BEATTIES FORD RD, CHARLOTTE, NC 28216-3742
(704) 394-8968
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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