Provider Demographics
NPI:1205100898
Name:AGUERO, MARIA DEL PILAR (MFC)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:DEL PILAR
Last Name:AGUERO
Suffix:
Gender:F
Credentials:MFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3705 S OCEAN CRST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-7127
Mailing Address - Country:US
Mailing Address - Phone:949-233-8452
Mailing Address - Fax:
Practice Address - Street 1:20 CORPORATE PARK #118
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606
Practice Address - Country:US
Practice Address - Phone:949-769-1161
Practice Address - Fax:949-536-5370
Is Sole Proprietor?:No
Enumeration Date:2012-02-29
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 49440106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist