Provider Demographics
NPI:1982027959
Name:AGUIRRE, ALICIA GARCIA (LMFT)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:GARCIA
Last Name:AGUIRRE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5217 PLA VADA DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-1841
Mailing Address - Country:US
Mailing Address - Phone:661-889-2151
Mailing Address - Fax:661-812-3001
Practice Address - Street 1:5217 PLA VADA DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-1841
Practice Address - Country:US
Practice Address - Phone:661-889-2151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-28
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF83333106H00000X
CA116067106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist