Provider Demographics
NPI:1386460939
Name:AGUIRRE, LILIA (ASW)
Entity type:Individual
Prefix:
First Name:LILIA
Middle Name:
Last Name:AGUIRRE
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7105
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92513-7105
Mailing Address - Country:US
Mailing Address - Phone:310-425-6561
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 7105
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92513-7105
Practice Address - Country:US
Practice Address - Phone:310-425-6561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-27
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW126906101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health