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NPI Code Detail

MEDICARE: SHREYA WIGH LMHC

MEDICARE: SHREYA WIGH LMHC
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
1101YP2500XProfessional CounselorCTB20250382NM

General Provider Information

NPI Number : 1700422821
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHREYA WIGH LMHC
Provider Business Mailing Address
First Line : 8804 HAMPTON AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87122-2953
Country : US
Telephone Number : 505-507-4567
Fax Number :
Provider Business Practice Location Address
First Line : 4169 MONTGOMERY BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87109-6742
Country : US
Telephone Number : 505-507-4567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2019
Last Update Date : 12/15/2025

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Directions to “ SHREYA WIGH LMHC” Practice Location

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