NPI 1003688946
Orlando Terrell Wiggins, RADT
Practice location
- Address
- 603 D St, San Rafael, CA 94901-3719
- Phone
- (415) 492-4444
Registered specialties (2)
Counselor
Primary
Addiction (Substance Use Disorder) Counselor
Registry record
- NPI
- 1003688946
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Oct 2023
- Record last updated
- 24 Oct 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.