Kathryn Vigil
Social Worker, Clinical in Rio Rancho, NM. Individual provider (NPI-1).
NPI number1164032710
StatusActive
Last updated in NPPESApr 10, 2024
Details
- NPI
- 1164032710
- Entity type
- Individual (NPI-1)
- Name
- Kathryn Vigil
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2020
- Certification date
- Aug 7, 2020
- Last updated
- Apr 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SWB-2023-0641 | NM | Yes |
| 1041S0200X | Social Worker, School | X-11535 | NM |
Other names
- Katy McClenin (Former Name)
Practice location
500 Laser Rd NeRio Rancho, NM 87124-4517
Phone 505-962-1242
Mailing address
500 Laser Rd NeRio Rancho, NM 87124-4517
Phone 505-962-1242
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