Healthcare Provider Details

I. General information

NPI: 1760305569
Provider Name (Legal Business Name): NATHALIE EDITH AGUILAR LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10586 MOUNTAIN VIEW AVE APT N
REDLANDS CA
92373-8439
US

IV. Provider business mailing address

10586 MOUNTAIN VIEW AVE APT N
REDLANDS CA
92373-8439
US

V. Phone/Fax

Practice location:
  • Phone: 760-912-1358
  • Fax:
Mailing address:
  • Phone: 760-912-1358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164618
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: