MEDICARE: VICTORIA MARIE VIGIL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YP2500X	Professional Counselor
2	390200000X	Student in an Organized Health Care Education/Training Program
3	101Y00000X	Counselor
4	101YA0400X	Addiction (Substance Use Disorder) Counselor
5	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1669311619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA MARIE VIGIL

Provider Business Mailing Address
First Line	:	3099 KIRKLEVINGTON DR APT 88
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40517-2475
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3099 KIRKLEVINGTON DR APT 88
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40517-2475
Country	:	US
Telephone Number	:	606-772-0699
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

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Directions to “ VICTORIA MARIE VIGIL ” Practice Location

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