Aguilar, Christine Marie

Aguilar, Christine Marie is an individual health care provider with primary practice located at 1730 W Florist Ave Suite 125 Sebastian Family Psychology Practice Llc, Glendale WI 53209-3800. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Aguilar, Christine Marie can be contacted via phone (414) 247-0801.

Contact Information

Primary practice address
1730 W Florist Ave Suite 125 Sebastian Family Psychology Practice Llc Glendale WI 53209-3800
Fax: (414) 247-0816
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 643-124 Wisconsin

Profile Details

NPI number 1194029868
LBN Legal business name Aguilar, Christine Marie
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2011
Last updated Jan 10th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194029868 NPPES
Wisconsin MEDICAID 40945500

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