Individual
NATALIE GRACE WIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2 RED BUSH CT, JOHNSON CITY, TN 37601-4340
(833) 633-1576
Mailing address
2 RED BUSH CT, JOHNSON CITY, TN 37601-4340
(833) 633-1576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LSW0000007194
TN
Other
Enumeration date
11/14/2019
Last updated
02/20/2025
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