Doctor Name: | ARACELI VIGIL |
NPI Number: | 1295168227 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 4150 Patterson Road Riverbank, CA - 953679536 |
Business Phone Number: | 2098633990 |
Business Fax Number: | 2098633999 |
Mailing Address: | 737 W Childs Ave, MERCED |
State: | CA |
Postal Code: | 953416805 |
Phone Number: | 2093831838 |
Fax Number: | 2093831296 |
NPI Enumeration Date: | 08/13/2013 |
NPI Last Update Date: | 04/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |