NPI | 1285990754 |
---|---|
Former Name | TAYLOR D WIGINTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000526) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0012615) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2012-04-09 |
Last Update Date | 2025-01-07 |