Provider Demographics
NPI:1124454624
Name:ARONOV, IRYNA
Entity type:Individual
Prefix:
First Name:IRYNA
Middle Name:
Last Name:ARONOV
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:IRYNA
Other - Middle Name:
Other - Last Name:VILLEGAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:189 FERNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MORAGA
Mailing Address - State:CA
Mailing Address - Zip Code:94556-2315
Mailing Address - Country:US
Mailing Address - Phone:650-861-1480
Mailing Address - Fax:
Practice Address - Street 1:11881 SKYLINE BLVD STE G
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94619-2447
Practice Address - Country:US
Practice Address - Phone:650-861-1480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95044106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist