Michael Aquilino, M.s., L.m.h.c. | |
1111 W Spruce St Suite 32 Yakima WA 98902-3257 | |
(509) 480-0744 | |
(509) 966-2645 |
Full Name | Michael Aquilino, M.s., L.m.h.c. |
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Speciality | Counselor |
Location | 1111 W Spruce St, Yakima, Washington |
Authorized Official Name and Position | Michael Aquilino (ORGANIZER) |
Authorized Official Contact | 5094800744 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Michael Aquilino, M.s., L.m.h.c. 1111 W Spruce St Suite 32 Yakima WA 98902-3257 Ph: (509) 480-0744 | Michael Aquilino, M.s., L.m.h.c. 1111 W Spruce St Suite 32 Yakima WA 98902-3257 Ph: (509) 480-0744 |
NPI Number | 1124477252 |
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Provider Enumeration Date | 06/09/2016 |
Last Update Date | 09/14/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124477252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LH60536655 (Washington) | Primary |
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