Provider Demographics
NPI:1134864739
Name:FITCH, AARON MOISES (BHT, CCTS-I)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:MOISES
Last Name:FITCH
Suffix:
Gender:M
Credentials:BHT, CCTS-I
Other - Prefix:
Other - First Name:AARON
Other - Middle Name:MOISES
Other - Last Name:FITCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BHT, CCTS-I
Mailing Address - Street 1:8129 E LORENZO LN
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-8648
Mailing Address - Country:US
Mailing Address - Phone:928-388-4584
Mailing Address - Fax:
Practice Address - Street 1:2197 S 4TH AVE STE 202
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6473
Practice Address - Country:US
Practice Address - Phone:928-920-6220
Practice Address - Fax:928-259-7272
Is Sole Proprietor?:No
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health