Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leondre Jamal Wiggins

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104422633

Leondre Jamal Wiggins is an Addiction (Substance Use Disorder) Counselor in Brockton, Massachusetts. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

10 Meadowbrook Rd
Brockton, MA 02301-7122
Phone: (774) 628-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1104422633
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 9, 2020
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020
Mailing address72 Kilburn St, New Bedford, MA 02740-7321

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