Individual provider · Type 1 NPI

Leondre Jamal Wiggins

Addiction (Substance Use Disorder) Counselor · Brockton, MA

NPI number 1104422633 Active

Practice location

10 Meadowbrook Rd
Brockton, MA 02301-7122

Call (774) 628-1000 Map

Mailing address

72 Kilburn St
New Bedford, MA 02740-7321

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104422633

Leondre Jamal Wiggins's National Provider Identifier is 1104422633, issued on Dec 9, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brockton, MA. The record was last updated on Dec 9, 2020.