Provider Demographics
NPI:1790498848
Name:VIGANO, ASHLEE (AMFT)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:VIGANO
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8190 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:ALTA LOMA
Mailing Address - State:CA
Mailing Address - Zip Code:91701-1814
Mailing Address - Country:US
Mailing Address - Phone:909-268-6129
Mailing Address - Fax:
Practice Address - Street 1:8190 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:ALTA LOMA
Practice Address - State:CA
Practice Address - Zip Code:91701-1814
Practice Address - Country:US
Practice Address - Phone:909-268-6129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-04
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist