Provider Demographics
NPI:1194903443
Name:AGUILAR, SUSANA (MS)
Entity type:Individual
Prefix:
First Name:SUSANA
Middle Name:
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 WESTACRE RD
Mailing Address - Street 2:
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95691-3224
Mailing Address - Country:US
Mailing Address - Phone:916-375-7670
Mailing Address - Fax:
Practice Address - Street 1:930 WESTACRE RD
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691-3224
Practice Address - Country:US
Practice Address - Phone:916-375-7670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool