Individual
ANGELA WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
634 PRESSLEY ST, SANTA ROSA, CA 95404-5526
(707) 484-1326
(707) 570-3945
Mailing address
634 PRESSLEY ST, SANTA ROSA, CA 95404-5526
(707) 484-1326
(707) 570-3945
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942159583
—
CA
Enumeration date
07/14/2017
Last updated
07/21/2022
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