Individual
ANGELA STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
446 26TH ST, SAN DIEGO, CA 92102-3026
(619) 398-2156
Mailing address
446 26TH ST, SAN DIEGO, CA 92102-3026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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