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VASILIKI AJA MFT
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1164554937
Individual Registrant: VASILIKI AJA MFT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1904 RICHLAND AVE CERES, CA 95307-4562 US
Tel: 209-541-2914 Fax: 209-541-2071
Tel: 209-541-2914 Fax: 209-541-2071
Contact information for business:
1904 RICHLAND AVE CERES, CA 95307-4562 US
Tel: 209-541-2914 Fax: 209-541-2071
Tel: 209-541-2914 Fax: 209-541-2071
Registration Information:
NPI: 1164554937
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CA | MFC34111 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
