Individual
AMANDA WIGINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 E DYER RD, SANTA ANA, CA 92705-5600
(714) 323-0471
Mailing address
1221 E DYER RD, SANTA ANA, CA 92705-5600
(714) 323-0471
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/22/2010
Last updated
12/12/2012
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