TIFFANY RENEE AGRA - NPI 1770813743 - Marriage & Family Therapist in Lake Forest, CA

Q: What is Tiffany Agra's NPI number?

The NPI number for Tiffany Agra is 1770813743. It was assigned to this individual provider in the NPPES registry on January 13, 2010.

Q: What is Tiffany Agra's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Agra was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Tiffany Renee Agra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY RENEE AGRA (NPI 1770813743) is an individual marriage & family therapist in Lake Forest, California, licensed in California (103693) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1770813743

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameTIFFANY RENEE AGRA

Location Address23832 ROCKFIELD BLVD STE 120Lake Forest, CA 92630-2870

Mailing Address23832 Rockfield Blvd Ste 120Lake Forest, CA 92630-2870 · (949) 767-6396

Phone(949) 767-6396

Sole ProprietorYes

Enumeration DateJanuary 13, 2010

Last NPPES UpdateJuly 31, 2019

✔ NPI 1770813743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 103693

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

23832 ROCKFIELD BLVD STE 120, Lake Forest, CA 92630

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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