KENNETH WIGGINS

SAN DIEGO, CA
NPI1194980250
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  370069QN)
Enumeration Date2008-07-28
Last Update Date2008-07-28
Business Address
Mr. KENNETH WIGGINS
1515 PALM AVE SUITE A
SAN DIEGO, CA 92154-1011
Phone number: 619-429-4117
Mailing Address
Mr. KENNETH WIGGINS
1515 PALM AVE SUITE A
SAN DIEGO, CA 92154-1011
Phone number: 619-429-4117
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