Wigginton, Jessica Marie

Wigginton, Jessica Marie is an sole proprietor health care provider with primary practice located at 117 S 3Rd St , Danville KY 40422-1805. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wigginton, Jessica Marie can be contacted via phone (859) 374-0238.

Contact Information

Primary practice address
117 S 3Rd St Danville KY 40422-1805
Phone: (859) 374-0238
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3957 Kentucky

Profile Details

NPI number 1366761033
LBN Legal business name Wigginton, Jessica Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2010
Last updated Feb 6th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366761033 NPPES
Kentucky MEDICAID 1790731081

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