Individual
GERARD VAGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
673 PERFECTO LOPEZ RD, CORRALES, NM 87048-5101
(415) 260-1125
Mailing address
673 PERFECTO LOPEZ RD, CORRALES, NM 87048-5101
(505) 280-5834
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CCMH0215581
NM
Other
Enumeration date
08/09/2018
Last updated
05/30/2024
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