Individual
ANGELICA CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 354, AZUSA, CA 91702-0354
(323) 207-0737
Mailing address
PO BOX 354, AZUSA, CA 91702-0354
(323) 207-0737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
5951
CA
101YP2500X
Professional Counselor
Primary
16999
CA
Other
Enumeration date
12/04/2018
Last updated
10/30/2024
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