Individual
MARIELA AGUILERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
42 W MADISON ST, CHICAGO, IL 60602-4309
(773) 553-1800
Mailing address
42 W MADISON ST, CHICAGO, IL 60602-4309
(773) 553-1800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2354912
ISBE
IL
Enumeration date
12/01/2015
Last updated
11/15/2021
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