Individual
ANGELA FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 E MORRIS AVE, MODESTO, CA 95354-0437
(209) 525-6155
Mailing address
4008 WINCANTON RD, SALIDA, CA 95368-9722
(209) 527-3270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
05/13/2015
Last updated
05/15/2025
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