Individual
AMBER NICOLE WIGINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
405 E. EXCELSIOR, VINITA, OK 74301-4226
(918) 256-6476
Mailing address
405 E. EXCELSIOR, VINITA, OK 74301-4226
(918) 256-6476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7532
OK
Other
Enumeration date
08/05/2015
Last updated
04/30/2020
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