Individual
DR. ANGELA GORDON-NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34428 YUCAIPA BLVD STE E-176, YUCAIPA, CA 92399-2474
(909) 499-7138
Mailing address
34428 YUCAIPA BLVD STE E-176, YUCAIPA, CA 92399-2474
(909) 499-7138
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
374J00000X
Doula
MADRIELLA
CA
Other
Enumeration date
02/02/2021
Last updated
12/29/2022
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