Individual
MS. ANGELICA CAMPOS GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 EASTLAKE AVE, LOS ANGELES, CA 90033-1009
(688) 323-8826
Mailing address
1605 EASTLAKE AVE, LOS ANGELES, CA 90033-1009
(688) 323-8826
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
101YM0800X
Mental Health Counselor
—
CA
1041C0700X
Clinical Social Worker
Primary
LCSW111821
CA
Other
Enumeration date
07/24/2014
Last updated
10/05/2023
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