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1194980250
KENNETH WIGGINS
SAN DIEGO, CA
NPI
1194980250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 370069QN)
Enumeration Date
2008-07-28
Last Update Date
2008-07-28
Business Address
Mr. KENNETH WIGGINS
1515 PALM AVE SUITE A
SAN DIEGO, CA 92154-1011
Phone number: 619-429-4117
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Mailing Address
Mr. KENNETH WIGGINS
1515 PALM AVE SUITE A
SAN DIEGO, CA 92154-1011
Phone number: 619-429-4117
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