Individual
MARTHA AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5608 17TH AVENUE NW, SUITE 1516, SEATTLE, WA 98107-5232
(360) 200-8788
(888) 809-1915
Mailing address
5608 17TH AVE NW STE 1516, SEATTLE, WA 98107-5232
(360) 200-8788
(888) 809-1915
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LF61012010
WA
106H00000X
Marriage & Family Therapist
Primary
LMFT108963
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PR-135977
ANTHEM
CA
01
—
ZZZ918992Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
—
Enumeration date
03/19/2007
Last updated
05/16/2022
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