Individual
ANGELA MICHELLE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
3525 PRESLEY AVE, RIVERSIDE, CA 92507-4453
(951) 782-2400
Mailing address
3525 PRESLEY AVE, RIVERSIDE, CA 92507-4453
(951) 782-2400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
171M00000X
Case Manager/Care Coordinator
A050480918
CA
Other
Enumeration date
09/21/2017
Last updated
05/03/2024
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