Individual provider · NPI-1

Milicent Agustin

Counselor, Mental Health · San Leandro, CA

NPI number1982039772
StatusActive
Last updated in NPPESJul 20, 2015

Details

NPI
1982039772
Entity type
Individual (NPI-1)
Name
Ms. Milicent Agustin
Sex
Female
Sole proprietor
No
Enumeration date
Sep 11, 2013
Last updated
Jul 20, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes
104100000X Social Worker––
101Y00000X Counselor––

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Phone 510-317-1444

Mailing address

2275 Arlington Dr
San Leandro, CA 94578-1132

Phone 510-317-1444

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