MEDICARE: JENNIFER AGUIGAM

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

General Provider Information

NPI Number	:	1811631476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER AGUIGAM

Provider Business Mailing Address
First Line	:	2037 W BULLARD AVE # 174
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-1233
Country	:	US
Telephone Number	:	559-362-3505
Fax Number	:

Provider Business Practice Location Address
First Line	:	2037 W BULLARD AVE # 174
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-1233
Country	:	US
Telephone Number	:	559-362-3505
Fax Number	:

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

Provider Enumeration Date	:	04/20/2022
Last Update Date	:	03/05/2026

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Directions to “ JENNIFER AGUIGAM ” Practice Location

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