Provider Demographics
NPI:1336472216
Name:AGUILAR-HERNANDEZ, JULIAN ANDRES (LCSW #66063)
Entity Type:Individual
Prefix:
First Name:JULIAN
Middle Name:ANDRES
Last Name:AGUILAR-HERNANDEZ
Suffix:
Gender:M
Credentials:LCSW #66063
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11721 WHITTIER BLVD # 353
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-3939
Mailing Address - Country:US
Mailing Address - Phone:323-515-9788
Mailing Address - Fax:
Practice Address - Street 1:10355 SLUSHER DR
Practice Address - Street 2:
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-7353
Practice Address - Country:US
Practice Address - Phone:213-330-6783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW#660631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical