| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHANNON S WIGGINS | 1437637733 | 2024-03-09 |
Shannon S Wiggins is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1437637733. Registration indicates Shannon S Wiggins is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Shannon S Wiggins LCSW |
| Practice Office Address | 2545 RAVENHILL DR STE 102 FAYETTEVILLE, NC US |
| Practice Office Telephone | 9107086025 |
| Practice Office Fax | 9108585876 |
| Mailing Address | 2545 RAVENHILL DR STE 102 FAYETTEVILLE, NC 283035460 US |
| Business Telephone | 9107086025 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2212 Hope Mills Rd | Fayetteville, NC 283044228 | 9107790454 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | C015167
NC |