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DIANE AGUILAR

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1962173732

Individual Registrant:
 DIANE  AGUILAR 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
380 ENCINAL ST STE 200  SANTA CRUZ, CA 95060-2178 US
Tel: 831-469-1700  Fax: 831-425-1905

Contact information for business:
305 MARIGOLD AVE  FREEDOM, CA 95019-3117 US
Tel: 831-794-8986  Fax: --

Registration Information:
NPI: 1962173732
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101Y00000XBehavioral Health & Social Service Providers
Counselor
Y101YA0400XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
91425797A08219CA05




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