Elizabeth Sorensen Agnew, MFT
Marriage & Family Therapist in San Jose, CA. Individual provider (NPI-1).
NPI number1821287210
StatusActive
Last updated in NPPESApr 11, 2014
Details
- NPI
- 1821287210
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Sorensen Agnew
- Credential
- MFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2007
- Last updated
- Apr 11, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 44792 | CA | Yes |
Other names
- Beth Sorensen Agnew (Other Name)
Practice location
1210 S Bascom AveSuite 114
San Jose, CA 95128-3543
Phone 408-834-6985
Mailing address
1210 S Bascom AveSuite 114
San Jose, CA 95128-3543
Phone 408-834-6985
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