Agosto-Smart, Theresa

Agosto-Smart, Theresa is an individual health care provider with primary practice located at 101 Bodin Cir , Travis Afb CA 94535-1809. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Agosto-Smart, Theresa can be contacted via phone (707) 423-5174.

Contact Information

Primary practice address
101 Bodin Cir Travis Afb CA 94535-1809
Phone: (707) 423-5174
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-4385 Hawaii

Profile Details

NPI number 1346749330
LBN Legal business name Agosto-Smart, Theresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2018
Last updated Apr 14th, 2023 - about last year

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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