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Organization
EXTRAORDINARY YOU/DR. AGNES OH
Active
Organization
EXTRAORDINARY YOU/DR. AGNES OH
Active
Other names
Dr. Agnes Oh
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGNES OH PSYD (OWNER)
(818) 441-1096
Entity
Organization
Contact information
Practice address
1010 N CENTRAL AVE # 315, GLENDALE, CA 91202-2937
(818) 245-1129
Mailing address
1010 N CENTRAL AVE # 315, GLENDALE, CA 91202-2937
(818) 245-1129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/09/2018
Last updated
12/19/2018
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