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Larry Alexander Aguilera
Mental Health Counselor in San Mateo, California
NPI 1376074989

Larry Alexander Aguilera is a Mental Health Counselor based in San Mateo, CA and is specialized in Mental Health. Larry Alexander Aguilera practices in San Mateo, CA. The NPI Number for Larry Alexander Aguilera is 1376074989 and holds a License No. (California).

The current practice location address for Larry Alexander Aguilera is 2600 S El Camino Real, San Mateo, CA and can be reached out via phone at 650-516-6136.

Location: 2600 S El Camino Real, San Mateo, CA, 94403-2380
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376074989
Provider Name
Larry Alexander Aguilera
Credential
Provider Entity Type
Individual
Gender
Male
Address
2600 S El Camino Real, San Mateo, CA, 94403-2380
Phone Number
650-516-6136
Fax Number
Provider Enumeration Date
03/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2600 S El Camino Real
City
San Mateo
State
California
Zip
94403-2380
Phone Number
650-516-6136
Fax Number
person
Provider Business Mailing Address Details
Address
2600 S El Camino Real
City
San Mateo
State
California
Zip
94403-2380
Phone Number
650-516-6136
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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