Diana Aguilar, MA

Individual provider Active NPI Professional Counselor · Green Bay, WI

NPI 1245870583 · NPPES record last updated Jan 15, 2020

Key facts

NPI
1245870583
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
4558 (WI)
Practice address
300 Crooks St
Green Bay, WI 54301-4527
Phone
(920) 436-6800
Fax
(920) 432-5966
NPI assigned
Jan 15, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services of Northeast Wisconsin Inc Past
since Jan 19, 2020
Accepting new patients
Family Services of Northeast Wisconsin Inc Past
since Jan 19, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4558 WI Yes

Addresses

Primary practice location

300 Crooks St
Green Bay, WI 54301-4527

Mailing address

PO Box 22308
Green Bay, WI 54305-2308
Phone (920) 436-6800

Other providers in Green Bay, WI

All providers in Green Bay, WI · Professional Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.