Individual
DR. MARY E AGUILERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
602 SW MADISON AVE, CORVALLIS, OR 97333-4515
(541) 753-9217
Mailing address
PO BOX 1196, PHILOMATH, OR 97370-1196
(541) 602-5703
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1963
OR
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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