Doctor Name: | DR. CYNTHIA WIGGINS-PEPPERS |
NPI Number: | 1053665661 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.D.,LCASA,MA,QMHP |
License Number: | 2537-A |
Business Practice Address: | 171 Spring Park Rd Wake Forest, NC - 275876209 |
Business Phone Number: | 9193515483 |
Business Fax Number: | |
Mailing Address: | 171 Spring Park Rd, WAKE FOREST |
State: | NC |
Postal Code: | 275876209 |
Phone Number: | 9193515483 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2012 |
NPI Last Update Date: | 08/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 2537-A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |