Agusti, Jose
Agusti, Jose is an individual health care provider with primary practice located at 1109 S Lincoln Ave , Urbana IL 61801-4703. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Agusti, Jose can be contacted via phone (217) 333-2705.Contact Information
Primary practice address
1109 S Lincoln Ave
Urbana IL 61801-4703
Phone: (217) 333-2705
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Illinois |
Profile Details
| NPI number | 1780718213 |
|---|---|
| LBN Legal business name | Agusti, Jose |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780718213 | NPPES |
| Illinois | Other | 1490003853 | L.C.S.W. |
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