Individual
CARRIE M WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RESIDENT COUNSELING
Contact information
Practice address
1528 HOLLAND RD, SUFFOLK, VA 23434-6517
(800) 805-6989
Mailing address
1528 HOLLAND RD, SUFFOLK, VA 23434-6517
(800) 805-6989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0704010332
VA
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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