Provider Demographics
NPI:1073657342
Name:AGUILAR, CHRISTINA J (MS)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:J
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:889 HONEY LN
Mailing Address - Street 2:
Mailing Address - City:CRETE
Mailing Address - State:IL
Mailing Address - Zip Code:60417-1313
Mailing Address - Country:US
Mailing Address - Phone:708-679-4508
Mailing Address - Fax:
Practice Address - Street 1:889 HONEY LN
Practice Address - Street 2:
Practice Address - City:CRETE
Practice Address - State:IL
Practice Address - Zip Code:60417-1313
Practice Address - Country:US
Practice Address - Phone:708-679-4508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.007484101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health