person
Mr. David Wiggins, LPC,PHD
Professional Counselor in Roanoke, Virginia
NPI 1114009453

David Wiggins is a Professional Counselor based in Roanoke, VA and is specialized in Professional. David Wiggins practices in Roanoke, VA and has the professional credentials of LPC,PHD. The NPI Number for David Wiggins is 1114009453 and holds a License No. 0701002026 (Virginia).

The current practice location address for David Wiggins is 4656 Brambleton Ave, Roanoke, VA and can be reached out via phone at 540-772-8043 and via fax at 540-772-8242.

Location: 4656 Brambleton Ave, Roanoke, VA, 24018-5289
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Provider Profile Details
NPI Number
1114009453
Provider Name
David Wiggins
Credential
LPC,PHD
Provider Entity Type
Individual
Gender
Male
Address
4656 Brambleton Ave, Roanoke, VA, 24018-5289
Phone Number
540-772-8043
Fax Number
540-772-8242
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
259615 01 VA ANTHEM BCBS
031113 01 VA VALUE OPTIONS
institution
Provider Business Practice Location Address Details
Address
4656 Brambleton Ave
City
State
Zip
24018-3437
Phone Number
540-772-8043
Fax Number
540-772-8242
person
Provider Business Mailing Address Details
Address
4656 Brambleton Ave
City
State
Zip
24018-3437
Phone Number
540-772-8043
Fax Number
540-772-8242
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701002026 (Virginia)
Definition
Definition to come...
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