Individual
ESMERALDA AGUILERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 E BEACH ST, WATSONVILLE, CA 95076-4809
(831) 728-0222
(831) 707-2777
Mailing address
PO BOX 1870, WATSONVILLE, CA 95077-1870
(831) 728-0222
(831) 707-2777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
LCSW81226
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ91891Z
MEDICARE GROUP PTAN ID#ZZZ91891Z
CA
01
—
ZZZ91892Z
MEDICARE GROUP PTAN ID#ZZZ91892Z
CA
01
—
ZZZ92069Z
MEDICARE GROUP PTAN ID#ZZZ92069Z
CA
01
—
ZZZ92073Z
MEDICARE GROUP PTAN ID#ZZZ92073Z
CA
Enumeration date
11/06/2007
Last updated
03/18/2022
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