Active NPIIndividual provider

Crystal Agoncillo

Counselor in Seattle, Washington

NPI Number1972184406
Practice location
2120 S Plum St Ste A, Seattle, WA 98144-4539
Fax
—
Last updated
January 24, 2022

Crystal Agoncillo is a Counselor based in Seattle, WA. Crystal Agoncillo practices in Seattle, WA. The NPI Number for Crystal Agoncillo is 1972184406 and holds a License No. CG61165735 (WA). The current practice location address for Crystal Agoncillo is 2120 S Plum St Ste A, Seattle, WA 98144-4539 and can be reached out via phone at 206-441-3043.

Provider Profile Details

NPI Number
1972184406
Provider Name
Crystal Agoncillo
Provider Entity Type
Individual
Gender
Female
Address
2120 S Plum St Ste A, Seattle, WA 98144-4539
Phone Number
206-441-3043
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
April 16, 2021
Last Update Date
January 24, 2022
Certification Date
January 24, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
2120 S Plum St Ste A
Seattle, WA 98144-4539
Zip
98144-4539
Phone Number
206-441-3043
Seattle, WA 98144Get directions →

Provider Business Mailing Address Details

Address
222 Wall St
Ste 100
Seattle, WA 98121-1431
City
Seattle
State
WA
Zip
98121-1431

License Information

License Number
CG61165735
License State
WA
Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Crystal Agoncillo?

The NPI number of Crystal Agoncillo is 1972184406. It was assigned on April 16, 2021 and is currently active in the NPPES registry.

What is the specialty of Crystal Agoncillo?

Crystal Agoncillo is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in WA under license number CG61165735.

Where does Crystal Agoncillo practice?

The practice location is 2120 S Plum St Ste A, Seattle, WA 98144-4539. The office can be reached at 206-441-3043 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972184406 directly on the NPPES registry website.

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