Individual
ANGELA MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2844 COLOMA ST, PLACERVILLE, CA 95667-4406
(530) 644-3758
Mailing address
PO BOX 171, GREENWOOD, CA 95635-0171
(530) 333-4035
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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