Provider Demographics
NPI:1851717532
Name:AGUIAR, MARLENA MARIE (MA, LMHC, NCC)
Entity Type:Individual
Prefix:
First Name:MARLENA
Middle Name:MARIE
Last Name:AGUIAR
Suffix:
Gender:F
Credentials:MA, LMHC, NCC
Other - Prefix:
Other - First Name:MARLENA
Other - Middle Name:MARIE
Other - Last Name:WORKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:407 ANACONDA AVE
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-4877
Mailing Address - Country:US
Mailing Address - Phone:509-420-6603
Mailing Address - Fax:
Practice Address - Street 1:82911 BEACH ACCESS RD
Practice Address - Street 2:
Practice Address - City:UMATILLA
Practice Address - State:OR
Practice Address - Zip Code:97882-9419
Practice Address - Country:US
Practice Address - Phone:541-922-2001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-05
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
WALH60742691101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health