Individual
ANGELICA QUEZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2940 MAKAHA WAY, SAN DIEGO, CA 92154-1556
(619) 650-8814
(208) 504-1865
Mailing address
2940 MAKAHA WAY, SAN DIEGO, CA 92154-1556
(619) 650-8814
(208) 504-1865
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW66032
CA
1041C0700X
Clinical Social Worker
Primary
98888
CA
1041C0700X
Clinical Social Worker
TPSW4584
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2014
Last updated
02/25/2026
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