Healthcare Provider Details

I. General information

NPI: 1134864739
Provider Name (Legal Business Name): AARON MOISES FITCH BHT, CCTS-I
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: AARON MOISES FITCH BHT, CCTS-I

II. Dates (important events)

Enumeration Date: 04/28/2022
Last Update Date: 04/28/2022
Certification Date: 04/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2197 S 4TH AVE STE 202
YUMA AZ
85364-6473
US

IV. Provider business mailing address

8129 E LORENZO LN
YUMA AZ
85365-8648
US

V. Phone/Fax

Practice location:
  • Phone: 928-920-6220
  • Fax: 928-259-7272
Mailing address:
  • Phone: 928-388-4584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: