Healthcare Provider Details

I. General information

NPI: 1447732821
Provider Name (Legal Business Name): DOLORES AGUILAR LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2018
Last Update Date: 08/17/2023
Certification Date: 08/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 28TH ST
BAKERSFIELD CA
93301-1924
US

IV. Provider business mailing address

PO BOX 1000
BAKERSFIELD CA
93302-1000
US

V. Phone/Fax

Practice location:
  • Phone: 661-868-6840
  • Fax: 661-868-6840
Mailing address:
  • Phone: 661-868-6840
  • Fax: 616-868-6840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC13437
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: