Provider Demographics
NPI:1821116849
Name:VERIGIN, VANESSA (BSW)
Entity Type:Individual
Prefix:MS
First Name:VANESSA
Middle Name:
Last Name:VERIGIN
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5093 CONNECTICUT DR
Mailing Address - Street 2:APT. 1
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95841-3905
Mailing Address - Country:US
Mailing Address - Phone:530-886-2826
Mailing Address - Fax:530-886-2842
Practice Address - Street 1:11716 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-3732
Practice Address - Country:US
Practice Address - Phone:530-886-2826
Practice Address - Fax:530-886-2842
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health