STEVE VIGIL

LA JUNTA, CO
NPI1487071544
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  3380)
Enumeration Date2014-03-26
Last Update Date2014-03-26
Business Address
-- STEVE VIGIL
711 BARNES AVE
LA JUNTA, CO 81050-2138
Phone number: 719-384-5446
Mailing Address
-- STEVE VIGIL
711 BARNES AVE
LA JUNTA, CO 81050-2138
Phone number: 719-384-5446
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