Provider Demographics
NPI:1639051261
Name:AGUILA, KAROL ANN VILLALUZ
Entity type:Individual
Prefix:
First Name:KAROL ANN
Middle Name:VILLALUZ
Last Name:AGUILA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:449 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-1544
Mailing Address - Country:US
Mailing Address - Phone:862-215-0597
Mailing Address - Fax:862-215-0597
Practice Address - Street 1:160 PEHLE AVE STE 100
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-5227
Practice Address - Country:US
Practice Address - Phone:973-771-3560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00777200101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health