Individual
MRS. ANGELICA VICTORIA BON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17542 17TH ST, TUSTIN, CA 92780-1959
(714) 734-4500
Mailing address
17542 17TH ST STE 300, TUSTIN, CA 92780-1960
(714) 734-4500
(714) 680-8207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW71706
CA
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
28821
CA
Other
Enumeration date
11/30/2010
Last updated
11/15/2021
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