Provider Demographics
NPI:1780079947
Name:CILWA, AARON BERNARD (LMHC, SUDP, CCMHC)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:BERNARD
Last Name:CILWA
Suffix:
Gender:M
Credentials:LMHC, SUDP, CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17500 25TH AVE NE UNIT H206
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98271-4808
Mailing Address - Country:US
Mailing Address - Phone:517-505-0293
Mailing Address - Fax:
Practice Address - Street 1:17500 25TH AVE NE UNIT H206
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98271-4808
Practice Address - Country:US
Practice Address - Phone:517-505-0293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-03
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIC-02812101YA0400X
WACP60805563101YA0400X
MI6401014232101YM0800X
WALH60694014101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)