Healthcare Provider Details

I. General information

NPI: 1578283180
Provider Name (Legal Business Name): AARON DAVID WERNER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2022
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1390 WILLOW PASS RD STE 1000
CONCORD CA
94520-5283
US

IV. Provider business mailing address

1390 WILLOW PASS RD STE 1000
CONCORD CA
94520-5283
US

V. Phone/Fax

Practice location:
  • Phone: 925-943-1794
  • Fax:
Mailing address:
  • Phone: 925-943-1794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number165891
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number10877
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number10877
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: