Provider Demographics
NPI:1548389992
Name:ALEEM, AGNES HELENA
Entity Type:Individual
Prefix:MRS
First Name:AGNES
Middle Name:HELENA
Last Name:ALEEM
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 1:2911 PARK MEADOWS DR
Mailing Address - Street 2:APT. # 103
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-5666
Mailing Address - Country:US
Mailing Address - Phone:661-393-2621
Mailing Address - Fax:
Practice Address - Street 1:6113 TOBIAS WAY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-3470
Practice Address - Country:US
Practice Address - Phone:661-835-7676
Practice Address - Fax:661-835-7676
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)