Individual
MISTY AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6901 PANTHER PATH, PRESCOTT VALLEY, AZ 86314-2252
(928) 759-4040
Mailing address
PO BOX 1103, CHINO VALLEY, AZ 86323-1103
(928) 379-1024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
AZ
163WS0200X
School Registered Nurse
Primary
RN133574
AZ
Other
Enumeration date
06/18/2014
Last updated
09/06/2022
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