Doctor Name: | AARON C MICKAELIAN |
NPI Number: | 1063792687 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 3132 Jefferson St San Diego, CA - 921104421 |
Business Phone Number: | 6196833100 |
Business Fax Number: | |
Mailing Address: | 1465 E Lexington Ave, # 11 C EL CAJON |
State: | CA |
Postal Code: | 920191970 |
Phone Number: | 6198232144 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2011 |
NPI Last Update Date: | 08/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |