NPI 1013508951

Carolyn R Wiger, LADC

Practitioner Addiction (Substance Use Disorder) Counselor Stillwater, MN

Practice location

Address: 14949 62nd St N, Stillwater, MN 55082-6132
Phone: (651) 430-6460

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 303293 (MN)

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Registry record

NPI: 1013508951
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2021
Record last updated: 2 Feb 2021

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.