Individual
ANGELA DENISE BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12917 CERISE AVE, HAWTHORNE, CA 90250-5520
(310) 675-4431
(310) 679-2920
Mailing address
12917 CERISE AVE, HAWTHORNE, CA 90250-5520
(310) 675-4431
(310) 679-2920
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AII054100418
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
Other
Enumeration date
08/14/2019
Last updated
06/05/2025
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