MEDICARE: CHRISTINE ARAGON

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
1	101Y00000X	Counselor	RW7668	CA

General Provider Information

NPI Number	:	1467876094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE ARAGON

Provider Business Mailing Address
First Line	:	12125 DAY ST
Second Line	:	SUITE E315
City	:	MORENO VALLEY
State	:	CA
Zip	:	92557-6702
Country	:	US
Telephone Number	:	951-683-0633
Fax Number	:	951-684-6489

Provider Business Practice Location Address
First Line	:	12125 DAY ST
Second Line	:	SUITE E315
City	:	MORENO VALLEY
State	:	CA
Zip	:	92557-6702
Country	:	US
Telephone Number	:	951-683-0633
Fax Number	:	951-684-6489

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2014
Last Update Date	:	02/18/2014

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Directions to “ CHRISTINE ARAGON ” Practice Location

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