Individual
MRS. ANGEL MARIE SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDRC
Contact information
Practice address
1915 D ST, ANTIOCH, CA 94509-2571
(925) 754-3673
(925) 754-2002
Mailing address
1915 D ST, ANTIOCH, CA 94509-2571
(925) 754-3673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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