Provider Demographics
NPI:1427229731
Name:AGCAOILI, VHEE M (LCSW)
Entity Type:Individual
Prefix:
First Name:VHEE
Middle Name:M
Last Name:AGCAOILI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7777 S. FREEDOM RD.
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95231
Mailing Address - Country:US
Mailing Address - Phone:209-946-3406
Mailing Address - Fax:209-946-3458
Practice Address - Street 1:7777 S. FREEDOM ROAD
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95231
Practice Address - Country:US
Practice Address - Phone:209-946-3406
Practice Address - Fax:209-946-3458
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI33701041C0700X
HILCSW 33701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical