Alex Francis Agostini, MFT
Individual provider Active NPI Marriage & Family Therapist · Farmington, CT
NPI 1770100968 · NPPES record last updated Jul 3, 2020
Key facts
- NPI
- 1770100968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2432 (CT)
- Practice address
- 128 Garden St
Farmington, CT 06032-2254 - Phone
- (860) 676-1134
- NPI assigned
- Jul 3, 2020
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2432 | CT | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2432 | CT | Yes |
Addresses
Primary practice location
128 Garden St
Farmington, CT 06032-2254
Mailing address
654 Orchard Rd
Berlin, CT 06037-3527
Phone (860) 830-7640
Other providers in Farmington, CT
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- Sachin Agarwal
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- Armaghan Ahmad
- Ayatalla Ahmed Ibrahim Ahmed
- Donna A Aiudi
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All providers in Farmington, CT · Marriage & Family Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.