Individual
ANGELA SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A, PSR II
Contact information
Practice address
734 10TH AVE, SAN DIEGO, CA 92101-6502
(619) 239-4463
Mailing address
734 10TH AVE, SAN DIEGO, CA 92101-6502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/06/2014
Last updated
02/19/2018
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