Individual
ANGELINA BOTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1963 N E ST, SAN BERNARDINO, CA 92405-3919
(909) 708-8158
Mailing address
1963 N E ST, SAN BERNARDINO, CA 92405-3919
(909) 881-6146
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/27/2017
Last updated
04/28/2020
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