Provider Demographics
NPI:1043967847
Name:REYES, AUBRIE KATHLEEN (ASW)
Entity Type:Individual
Prefix:MRS
First Name:AUBRIE
Middle Name:KATHLEEN
Last Name:REYES
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:MISS
Other - First Name:AUBRIE
Other - Middle Name:KATHLEEN
Other - Last Name:YEPIZ-COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3333 E AMERICAN AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93725-9247
Mailing Address - Country:US
Mailing Address - Phone:559-600-4878
Mailing Address - Fax:559-600-7645
Practice Address - Street 1:3333 E AMERICAN AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93725-9247
Practice Address - Country:US
Practice Address - Phone:559-600-4878
Practice Address - Fax:559-600-7645
Is Sole Proprietor?:No
Enumeration Date:2022-03-02
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW106278101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health