Agra, Tiffany Renee

Agra, Tiffany Renee is an sole proprietor health care provider with primary practice located at 23832 Rockfield Blvd Ste 120 , Lake Forest CA 92630-2870. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Agra, Tiffany Renee can be contacted via phone (949) 767-6396.

Contact Information

Primary practice address
23832 Rockfield Blvd Ste 120 Lake Forest CA 92630-2870
Phone: (949) 767-6396
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 103693 California

Profile Details

NPI number 1770813743
LBN Legal business name Agra, Tiffany Renee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2010
Last updated Jul 31st, 2019 - about 5 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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