Provider Demographics
NPI:1033365614
Name:AGUON, RISHA
Entity Type:Individual
Prefix:
First Name:RISHA
Middle Name:
Last Name:AGUON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 FRANCISCO JAVIER AVE UNIT C-12
Mailing Address - Street 2:
Mailing Address - City:AGANA HEIGHTS
Mailing Address - State:GU
Mailing Address - Zip Code:96910-6439
Mailing Address - Country:US
Mailing Address - Phone:671-477-3311
Mailing Address - Fax:
Practice Address - Street 1:178 FRANCISCO JAVIER AVE UNIT C-12
Practice Address - Street 2:
Practice Address - City:AGANA HEIGHTS
Practice Address - State:GU
Practice Address - Zip Code:96910-6439
Practice Address - Country:US
Practice Address - Phone:671-477-3311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-14
Last Update Date:2013-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor