Individual
AGUSTINA PERONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112-5865
(408) 457-7100
Mailing address
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112-5865
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
138451
CA
Other
Enumeration date
10/16/2019
Last updated
03/13/2023
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