Individual
MELANIE VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1200 N PASEO DE ONATE, ESPANOLA, NM 87532-2687
(505) 747-0081
(505) 747-0083
Mailing address
1200 N PASEO DE ONATE, ESPANOLA, NM 87532-2687
(505) 747-0081
(505) 747-0083
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/24/2017
Last updated
11/29/2021
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