Glezakos, Agathi

Glezakos, Agathi is an individual health care provider with primary practice located at 27596 Homestead Rd , Laguna Niguel CA 92677-6602. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Glezakos, Agathi can be contacted via phone (714) 642-1621.

Contact Information

Primary practice address
27596 Homestead Rd Laguna Niguel CA 92677-6602
Phone: (714) 642-1621
Fax: (562) 985-5514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCSW5432 California

Profile Details

NPI number 1659474096
LBN Legal business name Glezakos, Agathi
Credentials PHD LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Oct 30th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659474096 NPPES
California Other ZZZ83022Z BLUE SHIELD OF CA
California Other 0007495215 BLUE SHIELD OF CA
California MEDICAID CSW05432 BLUE SHIELD OF CA

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