Provider Demographics
NPI:1285466300
Name:CAPEN, AARON
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:CAPEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27346 CARLTON OAKS ST
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-4379
Mailing Address - Country:US
Mailing Address - Phone:951-795-5320
Mailing Address - Fax:
Practice Address - Street 1:464 S PALM AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-4808
Practice Address - Country:US
Practice Address - Phone:951-247-6542
Practice Address - Fax:951-247-6959
Is Sole Proprietor?:No
Enumeration Date:2024-08-16
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA151492106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist