Individual
MISS ANGELICA GODINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 S 7TH AVE, LA PUENTE, CA 91746-3211
(626) 961-8971
Mailing address
24671 STANDING ROCK RD, APPLE VALLEY, CA 92307-6506
(760) 985-7077
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
B00002550722
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
144458
CA
106H00000X
Marriage & Family Therapist
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/08/2018
Last updated
01/24/2024
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