Individual
ANGELINA JOLIE MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDRC
Contact information
Practice address
9340 E STOCKTON BLVD, ELK GROVE, CA 95624-1563
(267) 583-5335
Mailing address
2257 HURLEY WAY APT 13, SACRAMENTO, CA 95825-2324
(267) 583-5335
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14549
CA
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
06/13/2024
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