Individual
BIANCA AGASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1875 NW CORPORATE BLVD STE 270, BOCA RATON, FL 33431-8550
(561) 997-0821
Mailing address
2400 SPRING WATER DR, MODESTO, CA 95355-9467
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
94727
CA
Other
Enumeration date
05/13/2014
Last updated
05/08/2024
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