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NPI Code Detail

MEDICARE: ILSE AERTS

MEDICARE: ILSE AERTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6135CA
2106H00000XMarriage & Family Therapist96211CA

General Provider Information

NPI Number : 1174975155
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILSE AERTS
Provider Business Mailing Address
First Line : 6649 AMETHYST AVE UNIT 8878
Second Line :
City : ALTA LOMA
State : CA
Zip : 91701-1540
Country : US
Telephone Number : 909-736-0088
Fax Number :
Provider Business Practice Location Address
First Line : 3633 INLAND EMPIRE BLVD STE 777
Second Line :
City : ONTARIO
State : CA
Zip : 91764-7974
Country : US
Telephone Number : 909-295-5805
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2016
Last Update Date : 02/26/2025

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Directions to “ ILSE AERTS ” Practice Location

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