Virginia Agustin
Counselor, Addiction (Substance Use Disorder) in Seattle, WA. Individual provider (NPI-1).
NPI number1972087104
StatusActive
Last updated in NPPESNov 7, 2019
Details
- NPI
- 1972087104
- Entity type
- Individual (NPI-1)
- Name
- Virginia Agustin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 24, 2018
- Last updated
- Nov 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CP60978301 | WA | Yes |
Practice location
3639 Martin Luther King Jr Way SSeattle, WA 98144-6847
Phone 206-695-7600
Mailing address
3639 Martin Luther King Jr Way SSeattle, WA 98144-6847
Phone 206-695-7600
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