Individual provider · Type 1 NPI

Mack Wiggins

Mental Health Counselor · Las Vegas, NV

NPI number 1023434586 Active

Practice location

1555 E Flamingo Rd, Ste 158
Las Vegas, NV 89119-5258

Mailing address

3318 N Decatur Blvd Unit 1167
Las Vegas, NV 89130-3235

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1023434586

Mack Wiggins's National Provider Identifier is 1023434586, issued on Mar 7, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 7, 2014.