Individual ProviderKatherine Elaine AguilarCounselorBehavioral Health & Social Service ProvidersPractice Address6171 W Charleston Blvd # 15, Las Vegas, NV 89146-1126(702) 486-5080(702) 486-9722PECOS EnrollmentBased on the most recent information from CMS, provider Katherine Elaine Aguilar 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 ID1770880452Provider TypeIndividualFull NameAguilar, Katherine ElaineCredential2596-RGenderFemaleSole ProprietorNoEnumeration Date2/16/2011Last Updated2/1/2020Contact InformationPractice LocationPractice Address6171 W Charleston Blvd # 15, Las Vegas, NV 89146-1126Phone(702) 486-5080FaxUnlisted FaxMailing LocationMailing Address6171 W Charleston Blvd # 15, Las Vegas, NV 89146-1126Phone(702) 486-9722FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense2596-RNevadaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLF60442656Washington