Provider Demographics
NPI:1447337878
Name:AGUILAR, CHRISTINE MICHELL (MSW)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:MICHELL
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 S LA CIENEGA BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-3711
Mailing Address - Country:US
Mailing Address - Phone:323-975-2704
Mailing Address - Fax:
Practice Address - Street 1:1501 S LA CIENEGA BLVD STE B
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-3711
Practice Address - Country:US
Practice Address - Phone:323-975-2704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW270391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical