Brian Allen Agolia, LMFT

Individual provider Active NPI Marriage & Family Therapist · Yuba City, CA

NPI 1487839775 · NPPES record last updated Sep 18, 2018

Key facts

NPI
1487839775
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
77140 (CA)
Practice address
1965 Live Oak Blvd
Yuba City, CA 95991-8850
Phone
(530) 822-7200
NPI assigned
Jan 4, 2008
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
77140CAMDMarriage & Family Therapist
IMF 54321CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 54321 CA
Marriage & Family Therapist 106H00000X 77140 CA Yes

Addresses

Primary practice location

1965 Live Oak Blvd
Yuba City, CA 95991-8850

Mailing address

PO Box 1520
Yuba City, CA 95992-1520
Phone (530) 822-7200

Other providers in Yuba City, CA

All providers in Yuba City, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.