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Individual

ALYSSA MORIAH AGUILERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CG61259456

Contact information

Practice address
401 S 12TH AVE, YAKIMA, WA 98902-3114
(509) 864-1413
Mailing address
1300 LARUE RD, TOPPENISH, WA 98948-9478
(509) 594-1021

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
Primary

Other

Enumeration date
09/27/2023
Last updated
03/20/2025
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