Provider Demographics
NPI:1740331776
Name:VIGIL, SABRINA MARIE (RASI)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:MARIE
Last Name:VIGIL
Suffix:
Gender:F
Credentials:RASI
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:MARIE
Other - Last Name:PACHECO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10953 REMINGTON ST.
Mailing Address - Street 2:
Mailing Address - City:ADELANTO
Mailing Address - State:CA
Mailing Address - Zip Code:92830-6171
Mailing Address - Country:US
Mailing Address - Phone:760-246-0936
Mailing Address - Fax:
Practice Address - Street 1:11959 MARIPOSA RD.
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345
Practice Address - Country:US
Practice Address - Phone:760-956-2462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)