Individual provider · NPI-1

Benjamin Aguayo

Counselor, Addiction (Substance Use Disorder) · Santa Maria, CA

NPI number1629547799
StatusActive
Last updated in NPPESNov 19, 2018

Details

NPI
1629547799
Entity type
Individual (NPI-1)
Name
Benjamin Aguayo
Sex
Male
Sole proprietor
No
Enumeration date
Nov 19, 2018
Last updated
Nov 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

115 E Fesler St
Santa Maria, CA 93454-4404

Phone 805-922-5978

Mailing address

115 E Fesler St
Santa Maria, CA 93454-4404

Phone 805-922-5978

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Counselor, Addiction (Substance Use Disorder) providers in Santa Maria, CA