Individual
BROOKE CARISSA AGUIAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 EL CAMINO REAL APT 110, BURLINGAME, CA 94010-5173
(303) 519-1469
Mailing address
PO BOX 3596, REDWOOD CITY, CA 94064-3596
(303) 519-1469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13260
CA
101YM0800X
Mental Health Counselor
5026
CA
Other
Enumeration date
09/04/2018
Last updated
03/06/2023
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