Individual
EVETTE CHERREL WIGGINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1533 S BROWNLEE BLVD STE 100, CORPUS CHRISTI, TX 78404-3131
(361) 884-2242
Mailing address
5214 CURTIS CLARK DR, CORPUS CHRISTI, TX 78411-4626
(361) 442-6932
(512) 291-5657
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
16461
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
13870
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13870
LCDC
TX
01
—
16461
LPC
TX
Enumeration date
01/07/2019
Last updated
01/07/2019
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