Individual
AGNES MIKLOS-ILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2540 CHARLESTON ST, OAKLAND, CA 94602-2508
(510) 528-8781
Mailing address
1191 SOLANO AVE, #6579, ALBANY, CA 94706
(510) 528-8781
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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