Individual
CAROL ANN VIGIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
110 SHEEP SPRING RD., JEMEZ PUEBLO, NM 87024
(575) 834-3143
Mailing address
PO BOX 279, JEMEZ PUEBLO, NM 87024-0279
(575) 834-3143
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0111781
NM
Other
Enumeration date
03/03/2009
Last updated
10/03/2012
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