Provider Demographics
NPI:1427770221
Name:NIETO, REGINA AGUINAGA (REGISTERED AMFT)
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:AGUINAGA
Last Name:NIETO
Suffix:
Gender:F
Credentials:REGISTERED AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 E CHERRY AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-6706
Mailing Address - Country:US
Mailing Address - Phone:559-429-1393
Mailing Address - Fax:
Practice Address - Street 1:1220 W CENTER AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5911
Practice Address - Country:US
Practice Address - Phone:559-280-5756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT130877106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist