Individual
ANGELICA FREEDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 355-1073
Mailing address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 355-1073
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2022-0182
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/06/2021
Last updated
06/21/2022
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