Basic Information
| Provider Information | |||||||||
| NPI: | 1689866634 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AGUIRRE | ||||||||
| FirstName: | NATALIE | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | M.A., M.S. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2408 S HACIENDA BLVD APT L2 | ||||||||
| Address2: | |||||||||
| City: | HACIENDA HTS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917454781 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9542053619 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 11731 TELEGRAPH RD STE K | ||||||||
| Address2: | |||||||||
| City: | SANTA FE SPRINGS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 906706815 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5629428256 | ||||||||
| FaxNumber: | 5629429789 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/14/2007 | ||||||||
| LastUpdateDate: | 03/23/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/23/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 58792 | CA | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 225400000X | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Rehabilitation Practitioner | 106H00000X | LMFT125231 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.