Most Relevant Information
Provider Data
| NPI Number: | 1003288606 |
| Provider Name: | JONI WIGGINS, LPC M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 6427 |
Most Important Dates
| Enumeration Date: | 10/22/2015 |
| Last Updated: | 09/30/2016 |
Provider Practice Location
108 CENTRAL AVE
SUITE 5
GOOSE CREEK
SC
294453079
Practice Location Phone/Fax
| Phone: | 8434789441 |
| Fax: |
Provider Mailing Location
108 CENTRAL BLVD, SUITE 5
NORTH CHARLESTON
SC
29420
Provider Mailing Phone/Fax
| Phone: | 8434789441 |
| Fax: |