Individual
CARLOS VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10535 ROAD 35, MADERA, CA 93636-8487
(559) 367-5647
Mailing address
10535 ROAD 35, MADERA, CA 93636-8487
(559) 367-5647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225400000X
Rehabilitation Practitioner
—
CA
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
05/02/2019
Last updated
05/08/2026
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