Sandra Aguilera-Cruz

Individual provider Active NPI Professional Counselor · North Hills, CA

NPI 1316249196 · NPPES record last updated Feb 12, 2021

Key facts

NPI
1316249196
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
APCC9168 (CA)
Practice address
15305 Rayen St
North Hills, CA 91343-5117
Phone
(818) 402-7250
NPI assigned
Nov 30, 2010
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
APCC9168CAMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X
Professional Counselor 101YP2500X APCC9168 CA Yes

Addresses

Primary practice location

15305 Rayen St
North Hills, CA 91343-5117

Mailing address

15305 Rayen St
North Hills, CA 91343-5117
Phone (818) 402-7250

Other providers in North Hills, CA

All providers in North Hills, CA · Professional Counselor in California

Sources for this page

Verify at the official NPI Registry.