Individual provider · NPI-1

Jonathan Mishell Aguirre

Counselor, Addiction (Substance Use Disorder) · Lemon Grove, CA

NPI number1679399307
StatusActive
Last updated in NPPESNov 26, 2024

Details

NPI
1679399307
Entity type
Individual (NPI-1)
Name
Jonathan Mishell Aguirre
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 26, 2024
Certification date
Nov 26, 2024
Last updated
Nov 26, 2024

Taxonomy and licenses

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

Practice location

2049 Skyline Dr
Lemon Grove, CA 91945-4221

Phone 619-456-7303

Mailing address

1400 N Johnson Ave Ste 101
El Cajon, CA 92020-1651

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