Provider Demographics
NPI:1366673501
Name:VIGLIONE, VINCENT S (LPC)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:S
Last Name:VIGLIONE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 WATERLOO DR
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-1438
Mailing Address - Country:US
Mailing Address - Phone:201-572-7173
Mailing Address - Fax:973-326-1513
Practice Address - Street 1:76 BROADWAY STE 200A
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2739
Practice Address - Country:US
Practice Address - Phone:201-572-7173
Practice Address - Fax:973-326-1513
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00384800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional