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VASILIKI AJA MFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1164554937

Individual Registrant:
 VASILIKI  AJA MFT
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

Contact information for business:
1904 RICHLAND AVE  CERES, CA 95307-4562 US
Tel: 209-541-2914  Fax: 209-541-2071

Registration Information:
NPI: 1164554937
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFC34111

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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