Healthcare Provider Details

I. General information

NPI: 1992698484
Provider Name (Legal Business Name): AARON WOOD
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 PACIFIC ST
MONTEREY CA
93940-2864
US

IV. Provider business mailing address

3038 VAUGHN AVE
MARINA CA
93933-3609
US

V. Phone/Fax

Practice location:
  • Phone: 831-901-7413
  • Fax:
Mailing address:
  • Phone: 831-521-7942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number090202164
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: