Individual
ANGELA NISHIYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 FM 574 W, GOLDTHWAITE, TX 76844-3379
(325) 938-5518
Mailing address
850 FM 574 W, GOLDTHWAITE, TX 76844-3379
(956) 763-3623
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
85344
TX
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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