Individual
JESSICA WIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 NORTH AVE, ATHENS, GA 30601
(706) 389-6789
Mailing address
250 NORTH AVE, ATHENS, GA 30601
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC006319
GA
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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