Individual
JOSEPH GLENN VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSAA
Contact information
Practice address
13139 CENTRAL AVE NE, ALBUQUERQUE, NM 87123-3031
(505) 575-1607
Mailing address
13139 CENTRAL AVE NE, ALBUQUERQUE, NM 87123-3031
(505) 575-1607
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2024-0032
NM
Other
Enumeration date
03/13/2024
Last updated
02/11/2026
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