Individual provider · NPI-1
Christopher Lee Aguilar, MSW
Social Worker, Clinical · Cheyenne, WY
NPI number1306106497
StatusActive
Last updated in NPPESDec 1, 2020
Details
- NPI
- 1306106497
- Entity type
- Individual (NPI-1)
- Name
- Mr. Christopher Lee Aguilar
- Credential
- MSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2012
- Certification date
- Dec 1, 2020
- Last updated
- Dec 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | csw.09923660 | CO | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
2360 E Pershing BlvdCheyenne, WY 82001-5356
Phone 307-778-7550
Mailing address
705 E Drake Rd Apt 36Fort Collins, CO 80525-4612
Phone 970-556-5740
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