Individual
ANGELA NICOLE MACDOUGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3545 SUNGLOW DR, REDDING, CA 96001-6143
(530) 262-2902
Mailing address
3545 SUNGLOW DR, REDDING, CA 96001-6143
(530) 262-2902
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99331
CA
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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