Individual
ANGELICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2070 BUSINESS CENTER DR STE 160, IRVINE, CA 92612-1160
(949) 312-1756
Mailing address
236 COZUMEL, LAGUNA BEACH, CA 92651-4447
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
140771
CA
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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