Provider Demographics
NPI:1942418082
Name:RIGOLE, WILLIAM MORRISE SR (LICENSED CLINICAL SO)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:MORRISE
Last Name:RIGOLE
Suffix:SR
Gender:M
Credentials:LICENSED CLINICAL SO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:100 E VETERANS PARKWAY
Mailing Address - Street 2:VETERANS HOME OF CA BARSTOW
Mailing Address - City:BARSTOW
Mailing Address - State:CA
Mailing Address - Zip Code:92311
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 E VETERANS PARKWAY
Practice Address - Street 2:VETERANS HOME OF CA BARSTOW
Practice Address - City:BARSTOW
Practice Address - State:CA
Practice Address - Zip Code:92311
Practice Address - Country:US
Practice Address - Phone:760-252-6241
Practice Address - Fax:760-252-6248
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LCS 157141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ01479ZMedicare ID - Type Unspecified