Individual
ANGEL CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44447 10TH ST W, LANCASTER, CA 93534-3324
(818) 996-1051
Mailing address
44447 10TH ST W, LANCASTER, CA 93534-3324
(818) 996-1051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1333540119
CA
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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