Individual
ANGELA LORRAINE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
4300 LONG BEACH BLVD, SUITE 700, LONG BEACH, CA 90807-2011
(310) 783-4677
Mailing address
PO BOX 60637, PASADENA, CA 91116-6637
(310) 370-2613
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ASW67112
CA
104100000X
Social Worker
26455
CA
Other
Enumeration date
08/24/2009
Last updated
06/06/2016
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