Michelle Wigley, LCAS
Counselor, Addiction (Substance Use Disorder) in Charlotte, NC. Individual provider (NPI-1).
NPI number1154865293
StatusActive
Last updated in NPPESDec 20, 2018
Details
- NPI
- 1154865293
- Entity type
- Individual (NPI-1)
- Name
- Michelle Wigley
- Credential
- LCAS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2016
- Last updated
- Dec 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 20191 | NC | Yes |
Practice location
521 Clanton RdCharlotte, NC 28217-1369
Phone 704-332-9001
Mailing address
515 Clanton RdCharlotte, NC 28217-1309
Phone 704-332-8001 · Fax 704-714-1182
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