| Doctor Name: | MARCELLA MARIE WIGGINS |
| NPI Number: | 1174851141 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ME.D., LPC |
| License Number: | 14425 |
| Business Practice Address: | 210 S Village St Woodville, TX - 759795243 |
| Business Phone Number: | 8665738001 |
| Business Fax Number: | 8665738008 |
| Mailing Address: | 2300 Highway 365 Ste 110, NEDERLAND |
| State: | TX |
| Postal Code: | 776276251 |
| Phone Number: | 4097290400 |
| Fax Number: | 4097290453 |
| NPI Enumeration Date: | 12/02/2009 |
| NPI Last Update Date: | 12/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 14425 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |