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ELIZABETH AGEE
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1104463504
Individual Registrant: ELIZABETH AGEE
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
200 7TH AVE STE 150 SANTA CRUZ, CA 95062-4669 US
Tel: 831-462-1060 Fax: 831-462-4970
Tel: 831-462-1060 Fax: 831-462-4970
Contact information for business:
200 7TH AVE STE 150 SANTA CRUZ, CA 95062-4669 US
Tel: 831-462-1060 Fax: 831-462-4970
Tel: 831-462-1060 Fax: 831-462-4970
Registration Information:
NPI: 1104463504
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | CA | R1337220219 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
