Provider Demographics
NPI:1366988602
Name:RIGOLI, JOHN E JR (MFTI)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:E
Last Name:RIGOLI
Suffix:JR
Gender:M
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25020 LAS BRISAS RD STE 207
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-4064
Mailing Address - Country:US
Mailing Address - Phone:909-520-5763
Mailing Address - Fax:951-246-6141
Practice Address - Street 1:25020 LAS BRISAS RD STE 207
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-4064
Practice Address - Country:US
Practice Address - Phone:951-520-5763
Practice Address - Fax:951-246-6141
Is Sole Proprietor?:No
Enumeration Date:2017-01-10
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT86761106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist