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NPI Code Detail

MEDICARE: BRITTANY AGEE

MEDICARE: BRITTANY AGEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1346767654
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY AGEE
Provider Business Mailing Address
First Line : 6913 HOMING PIGEON PL
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89084-2658
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6913 HOMING PIGEON PL
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89084-2658
Country : US
Telephone Number : 210-371-8233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2017
Last Update Date : 08/28/2017

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Directions to “ BRITTANY AGEE ” Practice Location

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