Agusta, Jacqueline

Agusta, Jacqueline is an individual health care provider with primary practice located at 3012 Falstaff Rd , Raleigh NC 27610-1813. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Agusta, Jacqueline can be contacted via phone (919) 740-8601.

Contact Information

Primary practice address
3012 Falstaff Rd Raleigh NC 27610-1813
Phone: (919) 740-8601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-25813 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C014155 North Carolina

Profile Details

NPI number 1073170726
LBN Legal business name Agusta, Jacqueline
Credentials MSW, LCSW, LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2019
Last updated Dec 20th, 2022 - about 3 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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