Individual
KELSEY C ANGELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11868 ADAMS ST, YUCAIPA, CA 92399-3824
(714) 443-8994
Mailing address
11868 ADAMS ST, YUCAIPA, CA 92399-3824
(714) 443-8994
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
CA
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
07/13/2023
Last updated
01/20/2026
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