Provider Demographics
NPI:1588101471
Name:VIRGO, MARGARET
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:VIRGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 TUOLUMNE WAY
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-1226
Mailing Address - Country:US
Mailing Address - Phone:775-671-1243
Mailing Address - Fax:
Practice Address - Street 1:3700 TUOLUMNE WAY
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-1226
Practice Address - Country:US
Practice Address - Phone:775-671-1243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health