Individual
MS. CHRISTINE MARIE AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1730 W FLORIST AVE SUITE 125, SEBASTIAN FAMILY PSYCHOLOGY PRACTICE LLC, GLENDALE, WI 53209-3800
(414) 247-0801
(414) 247-0816
Mailing address
3067 S 9TH PL, MILWAUKEE, WI 53215-3949
(414) 218-6199
(414) 247-0816
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
643-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40945500
—
WI
Enumeration date
01/10/2011
Last updated
01/10/2011
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