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Individual

MR. ROCKY MANUEL VILI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
4800 CLEVELAND HEIGHTS RD NE, RIO RANCHO, NM 87144-1607
(505) 938-0683
Mailing address
1380 RIO RANCHO BLVD SE # 403, RIO RANCHO, NM 87124-1006
(505) 938-0683

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSA0219821
NM
1041C0700X
Clinical Social Worker
Primary
SWB20241003
NM
1041S0200X
School Social Worker
Primary
SWB20220820
NM

Other

Enumeration date
09/28/2021
Last updated
03/31/2026
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