Organization Name: | MICHAEL AQUILINO, M.S., L.M.H.C., P.L.L.C. |
NPI Number: | 1124477252 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL AQUILINO (ORGANIZER) |
Mailing Address: | 1111 W Spruce St 32 Yakima |
State: | WA US |
Postal Code: | 989023257 |
Phone Number: | 5094800744 |
Fax Number: | 5099662645 |
NPI Enumeration Date: | 06/09/2016 |
NPI Last Update Date: | 06/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LH60536655 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |