Individual provider · NPI-1

Jennifer Lea Aguilar, MS, LPC

Counselor, Professional · Addison, TX

NPI number1770195513
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1770195513
Entity type
Individual (NPI-1)
Name
Jennifer Lea Aguilar
Credential
MS, LPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 22, 2020
Certification date
Aug 21, 2020
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional66943TXYes

Practice location

14683 Midway Rd Ste 210
Addison, TX 75001-3526

Phone 972-454-9881

Mailing address

3701 Northwest Pkwy
Dallas, TX 75225-3701

Phone 214-223-5085

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