Individual provider · Type 1 NPI

Vivian I. Agosto

Mental Health Counselor · Berwyn, IL

NPI number 1699483677 Active

Practice location

6415 Stanley Ave
Berwyn, IL 60402-3130

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1699483677

Vivian I. Agosto's National Provider Identifier is 1699483677, issued on Nov 9, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Berwyn, IL. The record was last updated on Nov 9, 2022.