MS. CHRISTINE MARIE AGUILAR


Address: 1730 W Florist Ave Suite 125, Sebastian Family Psychology Practice LLC, Glendale, WI 53209-3800
Phone: 4142470801

MS. CHRISTINE MARIE AGUILAR (NPI# 1194029868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194029868
Entity Type Individual
Full Name MS. CHRISTINE MARIE AGUILAR
Credential LMFT
Practice Address 1730 W Florist Ave Suite 125
Sebastian Family Psychology Practice LLC
Glendale
WI 53209-3800
Mailing Address 3067 S 9th Pl
Milwaukee
WI 53215-3949
Practice Telephone 4142470801
Practice Fax Number 4142470816
Mailing Telephone 4142186199
Mailing Fax Number 4142470816
Enumeration Date 2011-01-10
Last Update Date 2011-01-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 643-124 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 40945500 05

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Office Location

Street Address 1730 W FLORIST AVE SUITE 125
SEBASTIAN FAMILY PSYCHOLOGY PRACTICE LLC
City GLENDALE
State WI
Zip Code 53209-3800

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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

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City GLENDALE
Zip Code 53209

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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