Individual
STEFANIE VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7324 BANGOR AVE NW, ALBUQUERQUE, NM 87120-3586
(505) 550-2212
Mailing address
7324 BANGOR AVE NW, ALBUQUERQUE, NM 87120-3586
(505) 550-2212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
M-09323
NM
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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