Individual
ANGELIQUE ELISABETH AVANOZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
205 39TH ST, RICHMOND, CA 94805-2212
(510) 412-5930
(510) 412-0567
Mailing address
205 39TH ST, RICHMOND, CA 94805-2212
(510) 412-5930
(510) 412-0567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
02/24/2021
Last updated
04/16/2024
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