Individual
ANGELA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
(884) 680-5669
Mailing address
2060 E AVENIDA DE LOS ARBOLES STE D250, THOUSAND OAKS, CA 91362-1361
(919) 601-0971
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
151885
CA
Other
Enumeration date
08/11/2022
Last updated
12/12/2024
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