Individual
ANGELYNN MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 MAGNOLIA AVE, LONG BEACH, CA 90806-4521
(562) 218-1868
Mailing address
1616 W JEFFERSON BLVD APT 1, LOS ANGELES, CA 90018-3960
(323) 244-6906
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1404480920
CA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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