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Organization
AGILITY COUNSELING LLC
Active
Organization
AGILITY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HADI KOESNODIHARDJO LMFT, LPCC (MEMBER)
(415) 968-9540
Entity
Organization
Contact information
Practice address
855 JEFFERSON AVE # 70, REDWOOD CITY, CA 94063-9992
(415) 968-9540
Mailing address
855 JEFFERSON AVE # 70, REDWOOD CITY, CA 94063-9992
(415) 968-9540
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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