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ESMERALDA AGUILERA

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1124208251

Individual Registrant:
 ESMERALDA  AGUILERA 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
12 WEST BEACH STREET  WATSONVILLE, CA 95076 US
Tel: 831-763-8983  Fax: --

Contact information for business:
1400 EMELINE AVE  SANTA CRUZ, CA 95060-1976 US
Tel: 831-454-4170  Fax: --

Registration Information:
NPI: 1124208251
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICARE GROUP PTAN ID#ZZZ91892ZZZZ91892ZCA01
MEDICARE GROUP PTAN ID#ZZZ92073ZZZZ92073ZCA01
MEDICARE GROUP PTAN ID#ZZZ91891ZZZZ91891ZCA01
MEDICARE GROUP PTAN ID#ZZZ92069ZZZZ92069ZCA01




HEALTH CARE JOBS CA - Page 1



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