Individual ProviderAlejandra Cardoso-AguileraMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address12188 Hesperia Rd, Victorville, CA 92395-5822(760) 477-2199PECOS EnrollmentBased on the most recent information from CMS, provider Alejandra Cardoso-Aguilera does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1073175626Provider TypeIndividualFull NameCardoso-Aguilera, AlejandraGenderFemaleSole ProprietorNoEnumeration Date7/3/2019Last Updated4/11/2022Contact InformationPractice LocationPractice Address12188 Hesperia Rd, Victorville, CA 92395-5822Phone(760) 477-2199FaxUnlisted FaxMailing LocationMailing Address12188 Hesperia Rd, Victorville, CA 92395-5822Phone(760) 477-2199FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseAMFT112696California