Individual
ANGELA CARMEL HAICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39155 LIBERTY ST # 500, FREMONT, CA 94538-1513
(510) 574-2114
Mailing address
11637 REGIO CT, DUBLIN, CA 94568-1370
(510) 978-3599
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
148547
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/13/2021
Last updated
08/15/2024
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