Nancy Agosto

Individual provider Active NPI Marriage & Family Therapist · Newhall, CA

NPI 1295264737 · NPPES record last updated Jun 8, 2017

Key facts

NPI
1295264737
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
93587 (CA)
Practice address
23530 Stillwater PL
Newhall, CA 91321-3555
Phone
(661) 505-2079
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 93587 CA Yes

Addresses

Primary practice location

23530 Stillwater PL
Newhall, CA 91321-3555

Mailing address

23530 Stillwater PL
Newhall, CA 91321-3555

Other providers in Newhall, CA

All providers in Newhall, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.