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ELIZABETH AGEE

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1104463504

Individual Registrant:
 ELIZABETH  AGEE 
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

Contact information for business:
200 7TH AVE STE 150  SANTA CRUZ, CA 95062-4669 US
Tel: 831-462-1060  Fax: 831-462-4970

Registration Information:
NPI: 1104463504
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CAR1337220219

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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