Individual
ANGELICA MICHELE COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 N VICTORIA AVE, OXNARD, CA 93036-7791
(805) 382-6296
(805) 382-9487
Mailing address
6109 AFTON PL, LOS ANGELES, CA 90028-8313
(323) 461-4118
(323) 461-4119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
10/14/2021
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