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Kenneth Wiggs, MA
Professional Counselor in Springfield, Missouri
NPI 1750423562

Kenneth Wiggs is a Professional Counselor based in Springfield, MO and is specialized in Professional. Kenneth Wiggs practices in Springfield, MO and has the professional credentials of MA. The NPI Number for Kenneth Wiggs is 1750423562 and holds a License No. 2005024468 (Missouri).

The current practice location address for Kenneth Wiggs is 3050 S National Ave, Springfield, MO and can be reached out via phone at 417-597-4572 and via fax at 417-882-1507.

Location: 3050 S National Ave, Springfield, MO, 65804-4242
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Provider Profile Details
NPI Number
1750423562
Provider Name
Kenneth Wiggs
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
3050 S National Ave, Springfield, MO, 65804-4242
Phone Number
417-597-4572
Fax Number
417-882-1507
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
497430306 05 MO
institution
Provider Business Practice Location Address Details
Address
3050 S National Ave
City
State
Zip
65804-4242
Phone Number
417-597-4572
Fax Number
417-882-1507
person
Provider Business Mailing Address Details
Address
3050 S National Ave
City
State
Zip
65804-4242
Phone Number
417-597-4572
Fax Number
417-882-1507
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2005024468 (Missouri)
Definition
Definition to come...
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