Individual
ANGELICA POLISERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 DOUGLAS ST, PETALUMA, CA 94952-2567
(707) 778-4813
Mailing address
959 PATRICIA WAY, SAN RAFAEL, CA 94903-2383
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
140669
CA
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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