Individual
ANGELA SEVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1931 CENTER ST, BERKELEY, CA 94704-1105
(510) 666-9552
Mailing address
1931 CENTER ST, BERKELEY, CA 94704-1105
(510) 666-9552
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/07/2011
Last updated
11/16/2018
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