Individual
ANGIE MARIE ABELLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 MCHENRY AVE, MODESTO, CA 95350-4373
(209) 499-5188
Mailing address
PO BOX 582214, ELK GROVE, CA 95758-0037
(209) 915-9123
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2022
Last updated
02/26/2024
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