Wiggins, Mary C
Wiggins, Mary C is an sole proprietor health care provider with primary practice located at 46179 Westlake Dr Ste 340 , Sterling VA 20165-5874. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wiggins, Mary C can be contacted via phone (703) 627-0616.Contact Information
Primary practice address
46179 Westlake Dr Ste 340
Sterling VA 20165-5874
Phone: (703) 627-0616
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701010221 | Virginia |
Profile Details
| NPI number | 1184804601 |
|---|---|
| LBN Legal business name | Wiggins, Mary C |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2007 |
| Last updated | Nov 29th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184804601 | NPPES |
| Virginia | MEDICAID | 30016188360002 |
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