Provider Demographics
NPI:1649578089
Name:SUTTON, AIESHA C
Entity Type:Individual
Prefix:MRS
First Name:AIESHA
Middle Name:C
Last Name:SUTTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 W MILLING ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-3032
Mailing Address - Country:US
Mailing Address - Phone:661-206-8617
Mailing Address - Fax:
Practice Address - Street 1:850 W MILLING ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-3032
Practice Address - Country:US
Practice Address - Phone:661-206-8617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor