Individual
MR. JONATHAN WAYNE WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1006 HIGHLAND AVENUE, SHREVEPORT, LA 71101
(318) 678-7537
(318) 678-7535
Mailing address
1006 HIGHLAND AVENUE, SHREVEPORT, LA 71101
(318) 678-7537
(318) 678-7535
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2489
LA
Other
Enumeration date
04/29/2016
Last updated
04/26/2022
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