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MR. AGAPITO PETE AGUILAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CADC

Contact information

Practice address
800 DOUGLAS AVE, DES MOINES, IA 50313
(515) 771-7177
(515) 263-8384
Mailing address
3201 HUBBELL AVE, DES MOINES, IA 50317-3722

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
09049
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09049
CERTIFIED ALCOHOL AND DRUG COUNSELOR
IA
Enumeration date
02/18/2010
Last updated
02/18/2010
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