Individual
ANGELA LESLIE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 4TH ST STE B, TAFT, CA 93268-2433
(661) 765-7025
Mailing address
1021 4TH ST STE B, TAFT, CA 93268-2433
(661) 765-7025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
12/16/2021
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