Agonafer, Edden

Agonafer, Edden is an sole proprietor health care provider with primary practice located at 3855 Lilac Canyon Ln , Altadena CA 91001-3870. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Agonafer, Edden can be contacted via phone (254) 214-9431.

Contact Information

Primary practice address
3855 Lilac Canyon Ln Altadena CA 91001-3870
Phone: (254) 214-9431
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 31122 California

Profile Details

NPI number 1598116139
LBN Legal business name Agonafer, Edden
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2016
Last updated Apr 20th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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