Individual
CLARISSA ANN WYGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 SIMPSON AVE, STE 101, ABERDEEN, WA 98520
(360) 612-0012
(360) 532-0670
Mailing address
COLUMBIA WELLNESS, PO BOX 1847, LONGVIEW, WA 98632
(360) 353-9369
(360) 577-0187
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61480880
WA
Other
Enumeration date
12/04/2018
Last updated
09/14/2023
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