Individual provider · Type 1 NPI

Illean Wiggins

Mental Health Counselor · Conyers, GA

NPI number 1295578219 Active

Practice location

2215 Exchange Pl SE
Conyers, GA 30013-6723

Mailing address

701 Wilmington Dr
Warner Robins, GA 31088-9039

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1295578219

Illean Wiggins's National Provider Identifier is 1295578219, issued on Jun 17, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Conyers, GA. The record was last updated on Jun 17, 2024.