Individual
CATHERINE MARA ANGLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CATC II
Contact information
Practice address
201 BRUSH ST, UKIAH, CA 95482-3424
(707) 462-6290
(707) 468-6427
Mailing address
7000B S CENTER DR, CLEARLAKE, CA 95422-8131
(707) 994-7090
(707) 994-7164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RI- A0702240356
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7182
CADTP
CA
Enumeration date
08/19/2009
Last updated
09/19/2018
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