Individual
CHANDRA RAE WIGINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
4682 E UNIVERSITY BLVD STE D, ODESSA, TX 79762-8190
(432) 848-6944
Mailing address
4682 E UNIVERSITY BLVD STE D, ODESSA, TX 79762-8190
(432) 848-6944
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
92736
TX
101YP2500X
Professional Counselor
1728085
—
101YP2500X
Professional Counselor
92736
TX
Other
Enumeration date
04/01/2025
Last updated
04/02/2025
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