Individual
DESIREE CASTANEDA ANGULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15345 BONANZA RD, VICTORVILLE, CA 92392-2499
(909) 387-7380
Mailing address
15175 LAKE ST, ADELANTO, CA 92301-4818
(760) 265-0435
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/30/2023
Last updated
05/14/2025
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