Individual
MRS. GAIL AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
18 COUGAR ROAD, SAN FELIPE BEHAVIORAL HEALTH PROGRAM, SAN FELIPE, NM 87001
(505) 771-9956
(505) 867-6166
Mailing address
P. O. BOX 4339, SAN FELIPE PUEBLO, NM 87001
(505) 771-9956
(505) 867-6166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0132011
NM
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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