Provider Demographics
NPI:1568298503
Name:CIBRIAN-AGUILAR, NATANIA NICOLE (LMFT)
Entity type:Individual
Prefix:
First Name:NATANIA
Middle Name:NICOLE
Last Name:CIBRIAN-AGUILAR
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:NIKKI
Other - Middle Name:N
Other - Last Name:CIBRIAN-AGUILAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9805 JAKE LN APT 14309
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-3011
Mailing Address - Country:US
Mailing Address - Phone:619-737-2989
Mailing Address - Fax:
Practice Address - Street 1:272 CHURCH AVE STE 3
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-2718
Practice Address - Country:US
Practice Address - Phone:619-737-2989
Practice Address - Fax:619-737-2998
Is Sole Proprietor?:No
Enumeration Date:2024-09-09
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA151079106H00000X
CA126235106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist