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GENESIS AGUILAR

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

Registrant NPI Number: 1407162399

Individual Registrant:
 GENESIS  AGUILAR 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
10 CARR ST  WATSONVILLE, CA 95076-4710 US
Tel: 831-768-8132  Fax: --

Contact information for business:
1615 BUNKER HILL WAY SUITE 100 SALINAS, CA 93906-6013 US
Tel: --  Fax: --

Registration Information:
NPI: 1407162399
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
FHC70832FCA05
MEDICARE GRPZZZ15685ZCA01
HAP70832FCA05




HEALTH CARE JOBS CA - Page 1



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