Alejandra Elizabeth Aguas

Individual provider Active NPI Professional Counselor · Tracy, CA

NPI 1114609641 · NPPES record last updated Sep 25, 2024

Key facts

NPI
1114609641
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
17578 (CA)
Practice address
19 E 6TH St
Tracy, CA 95376-4107
Phone
(209) 835-8583
NPI assigned
Aug 3, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Community Counseling Services, Inc Past
since Aug 6, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Student in an Organized Health Care Education/Training Program 390200000X
Professional Counselor 101YP2500X 17578 CA Yes

Addresses

Primary practice location

19 E 6TH St
Tracy, CA 95376-4107

Mailing address

19 E 6TH St
Tracy, CA 95376-4107
Phone (209) 835-8583

Other providers in Tracy, CA

All providers in Tracy, CA · Professional Counselor in California

Sources for this page

Verify at the official NPI Registry.