Individual
FELIPE MARIO LUBA AGGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
110 CARLTON ST, ATHENS, GA 30602-5004
(706) 542-8508
Mailing address
190 MARLIN ST, ATHENS, GA 30601-6000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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