Individual
MAYRA ALEJANDRA AGUILUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232-6824
(310) 945-3350
(310) 945-3356
Mailing address
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232-6824
(310) 945-3350
(310) 945-3356
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16794
CA
101YP2500X
Professional Counselor
APCC10087
CA
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/02/2020
Last updated
07/25/2024
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