Doctor Name: | VIRGINIA P AGUILERA |
NPI Number: | 1013043769 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 625 S Mcclelland Santa Maria, CA - 93454 |
Business Phone Number: | 8056149535 |
Business Fax Number: | 8056149390 |
Mailing Address: | 118 W Arrellaga Street, SANTA BARBARA |
State: | CA |
Postal Code: | 93101 |
Phone Number: | 8059622963 |
Fax Number: | 8059622965 |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |