Individual provider · Type 1 NPI

Kenneth Wiggs, MA

Professional Counselor · Springfield, MO

NPI number 1750423562 Active

Practice location

3050 S National Ave, Suite 104
Springfield, MO 65804-4242

Fax (417) 882-1507

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2005024468 (MO)

Professional Counselor: Definition to come...

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About NPI 1750423562

Kenneth Wiggs, MA's National Provider Identifier is 1750423562, issued on Feb 12, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, MO. The record was last updated on Aug 16, 2016.