Healthcare Provider Details

I. General information

NPI: 1558459743
Provider Name (Legal Business Name): BARBARA G VIGUE RN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 OLD NEW MILFORD RD STE 2A CHRISTIAN COUNSELING CENTER OF GREATER DANBURY
BROOKFIELD CT
06804-2426
US

IV. Provider business mailing address

2 OLD NEW MILFORD RD STE 2A LANDMARK OFFICE BLDG
BROOKFIELD CT
06804-2426
US

V. Phone/Fax

Practice location:
  • Phone: 203-775-3282
  • Fax: 203-775-3282
Mailing address:
  • Phone: 203-775-3282
  • Fax: 203-775-3478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number000577
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: