Individual provider · NPI-1

Suzanne L Agnello, LPC

Counselor, Professional · Concord, NC

NPI number1598820342
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1598820342
Entity type
Individual (NPI-1)
Name
Suzanne L Agnello
Credential
LPC
Sex
Female
Sole proprietor
No
Enumeration date
Dec 22, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional5590NCYes

Practice location

380 Copperfield Blvd Ne
Northeast Psychiatric & Psychological Inst
Concord, NC 28025-2402

Phone 704-262-1800 · Fax 704-262-1836

Mailing address

380 Copperfield Blvd Ne
Northeast Psychiatric & Psychological Inst
Concord, NC 28025-2402

Phone 704-262-1800 · Fax 704-262-1836

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