Individual
MS. ANGELA KAE WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFTT
Contact information
Practice address
512 ROCKRIDGE PL, VACAVILLE, CA 95687
(707) 246-7857
Mailing address
512 ROCKRIDGE PL, VACAVILLE, CA 95687-3392
(707) 246-7857
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
IMF54841
CA
Other
Enumeration date
03/19/2007
Last updated
02/08/2013
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