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NPI Code Detail

MEDICARE: OLIVIA L AGUIRRE MFT

MEDICARE: OLIVIA L AGUIRRE MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist49061CA

General Provider Information

NPI Number : 1225176068
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA L AGUIRRE MFT
Provider Business Mailing Address
First Line : PO BOX 432630
Second Line :
City : SAN YSIDRO
State : CA
Zip : 92143-2630
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1630 E MAIN ST
Second Line :
City : EL CAJON
State : CA
Zip : 92021-5204
Country : US
Telephone Number : 619-690-5101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 01/06/2022

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Directions to “ OLIVIA L AGUIRRE MFT” Practice Location

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