Agudelo, Jalixa

Agudelo, Jalixa is an individual health care provider with primary practice located at 55 Hope St , Providence RI 02906-2001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Agudelo, Jalixa can be contacted via phone (401) 519-2230.

Contact Information

Primary practice address
55 Hope St Providence RI 02906-2001
Phone: (401) 519-2230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1275227910
LBN Legal business name Agudelo, Jalixa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2023
Last updated Jun 6th, 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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