Provider Demographics
NPI:1760235451
Name:AGUIRRE, JOHANNA (LMHCA)
Entity type:Individual
Prefix:
First Name:JOHANNA
Middle Name:
Last Name:AGUIRRE
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:499 WESTERLY RD APT 301
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-6428
Mailing Address - Country:US
Mailing Address - Phone:360-255-3426
Mailing Address - Fax:
Practice Address - Street 1:499 WESTERLY RD APT 301
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-6428
Practice Address - Country:US
Practice Address - Phone:360-255-3426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-10
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61663350101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health