Agualo, Heather

Agualo, Heather is an individual health care provider with primary practice located at 1605 Jefferson St , Oakland CA 94612-1215. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Agualo, Heather can be contacted via phone (510) 923-1099.

Contact Information

Primary practice address
1605 Jefferson St Oakland CA 94612-1215
Phone: (510) 923-1099
Fax: (510) 350-8793
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1518208743
LBN Legal business name Agualo, Heather
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2013
Last updated Jun 12th, 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.

Request for update

Popular Providers