MEDICARE: MELISSA AGUIRRE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor
3	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1639589708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA AGUIRRE

Provider Business Mailing Address
First Line	:	227 BRIDGE ST
Second Line	:
City	:	ARROYO GRANDE
State	:	CA
Zip	:	93420-3311
Country	:	US
Telephone Number	:	805-474-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	227 BRIDGE ST
Second Line	:
City	:	ARROYO GRANDE
State	:	CA
Zip	:	93420-3311
Country	:	US
Telephone Number	:	805-474-3000
Fax Number	:

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

Provider Enumeration Date	:	04/29/2014
Last Update Date	:	07/11/2022

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Directions to “ MELISSA AGUIRRE ” Practice Location

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