Individual
ANGELICA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1551 GARDEN ST, TITUSVILLE, FL 32796-3269
(440) 654-5125
Mailing address
3380 MELODY LN, TITUSVILLE, FL 32796-4249
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMH22663
FL
106S00000X
Behavior Technician
RBT-19-97695
FL
Other
Enumeration date
09/17/2019
Last updated
12/28/2023
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