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NPI Code Detail

MEDICARE: RACHEL WIGGS

MEDICARE: RACHEL WIGGS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist154243CA

General Provider Information

NPI Number : 1508790312
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL WIGGS
Provider Business Mailing Address
First Line : 8778 SPECTRUM CENTER BLVD APT B426
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-5042
Country : US
Telephone Number : 951-805-9589
Fax Number :
Provider Business Practice Location Address
First Line : 1382 BLUE OAKS BLVD STE 213
Second Line :
City : ROSEVILLE
State : CA
Zip : 95678-7052
Country : US
Telephone Number : 619-940-5165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ RACHEL WIGGS ” Practice Location

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