Individual
SARAH WIGGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
908 NE 4TH ST STE 101, BEND, OR 97701-4646
(541) 617-7365
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 516-4087
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19-12-31
OR
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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