person
Mr. Jose Agusti, LCSW
Mental Health Counselor in Urbana, Illinois
NPI 1780718213

Jose Agusti is a Mental Health Counselor based in Tolono, IL and is specialized in Mental Health. Jose Agusti practices in Urbana, IL and has the professional credentials of LCSW. The NPI Number for Jose Agusti is 1780718213 and holds a License No. (Illinois).

The current practice location address for Jose Agusti is 1109 S Lincoln Ave, Urbana, IL and can be reached out via phone at 217-333-2705. You can also correspond with Jose Agusti through the mailing address at 509 W WALNUT ST, TOLONO, IL - 61880-9008 (mailing address contact number: 217-485-3139).

Location: 1109 S Lincoln Ave, Urbana, IL, 61880-9008
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Provider Profile Details
NPI Number
1780718213
Provider Name
Jose Agusti
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
1109 S Lincoln Ave, Urbana, IL, 61880-9008
Phone Number
217-333-2705
Fax Number
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1490003853 01 IL L.C.S.W.
institution
Provider Business Practice Location Address Details
Address
1109 S Lincoln Ave
City
State
Zip
61801-4703
Phone Number
217-333-2705
Fax Number
person
Provider Business Mailing Address Details
Address
1109 S Lincoln Ave
City
State
Zip
61801-4703
Phone Number
217-333-2705
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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