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NPI Code Detail

MEDICARE: ALEXANDRA REY HIDALGO-AGUERO MASTER IN COUNSELING

MEDICARE: ALEXANDRA REY HIDALGO-AGUERO MASTER IN COUNSELING
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
1106S00000XBehavior Technician00005190CA
2106H00000XMarriage & Family TherapistCA

General Provider Information

NPI Number : 1659862951
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA REY HIDALGO-AGUERO MASTER IN COUNSELING
Provider Business Mailing Address
First Line : 1160 N DUTTON AVE STE 230
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-4658
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1160 N DUTTON AVE STE 230
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-4658
Country : US
Telephone Number : 707-526-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2018
Last Update Date : 07/15/2025

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Directions to “ ALEXANDRA REY HIDALGO-AGUERO MASTER IN COUNSELING” Practice Location

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