Provider Demographics
NPI:1699234088
Name:B&D AGUILAR, JT VENTURE; DBA: SAN DIEGO COUNSELING AND THERAPY
Entity type:Organization
Organization Name:B&D AGUILAR, JT VENTURE; DBA: SAN DIEGO COUNSELING AND THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DARCY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MCLEAN AGUILAR
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:760-443-4587
Mailing Address - Street 1:PO BOX 302119
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92030-2119
Mailing Address - Country:US
Mailing Address - Phone:760-443-4587
Mailing Address - Fax:877-653-3625
Practice Address - Street 1:2423 CAMINO DEL RIO S STE 103
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3734
Practice Address - Country:US
Practice Address - Phone:760-443-4587
Practice Address - Fax:877-653-3625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-15
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty