Provider Demographics
NPI:1902147895
Name:MCLEAN AGUILAR, DARCY ANNE (MA)
Entity Type:Individual
Prefix:
First Name:DARCY
Middle Name:ANNE
Last Name:MCLEAN AGUILAR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 WANEK RD UNIT D
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92027-2858
Mailing Address - Country:US
Mailing Address - Phone:760-443-4587
Mailing Address - Fax:
Practice Address - Street 1:2423 CAMINO DEL RIO S
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3702
Practice Address - Country:US
Practice Address - Phone:760-443-4587
Practice Address - Fax:877-653-3625
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-03
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC51504106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist