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General NPI Number Information
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NPI Number | 1952790784
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Entity Type | Individual
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Provider Name | BRITTANY RE' AGUILA MS, SUDP, LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/16/2015
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 5921 N MARKET ST
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City | SPOKANE
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State | WA
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Zip | 99208-2484
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Country | US
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Telephone | 509-444-8200
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Fax | 509-444-7806
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Provider Business Mailing Address
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Address Line | 611 N IRON BRIDGE WAY
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City | SPOKANE
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State | WA
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Zip | 99202-4932
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Country | US
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Telephone | 509-444-8888
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Fax | 509-444-7806
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH61657284
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License Number State | WA
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