Provider Demographics
NPI:1457789836
Name:VIGILANTE, STEVE (LPC AND LPCC)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:VIGILANTE
Suffix:
Gender:M
Credentials:LPC AND LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 FREMONT ST APT 3110
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-2585
Mailing Address - Country:US
Mailing Address - Phone:214-402-9338
Mailing Address - Fax:
Practice Address - Street 1:100 BUSH ST STE 1900
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-3921
Practice Address - Country:US
Practice Address - Phone:415-799-3688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-23
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6279101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health