| Doctor Name: | JONI WIGGINS, LPCI |
| NPI Number: | 1003288606 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 5990 |
| Business Practice Address: | 108 Central Ave Suite 5 Goose Creek, SC - 294453079 |
| Business Phone Number: | 8434789441 |
| Business Fax Number: | |
| Mailing Address: | 108 Central Blvd, Suite 5, NORTH CHARLESTON |
| State: | SC |
| Postal Code: | 29420 |
| Phone Number: | 8434789441 |
| Fax Number: | |
| NPI Enumeration Date: | 10/22/2015 |
| NPI Last Update Date: | 10/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 5990 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |