Individual
MR. QUINCY L WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1122 BALLARD RD, WILLIAMSTON, NC 27892-9041
(252) 217-8119
Mailing address
1122 BALLARD RD, WILLIAMSTON, NC 27892-9041
(252) 217-8119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-23999
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
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Other
Enumeration date
09/21/2017
Last updated
07/21/2022
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