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Individual

ANGELA KAY ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
650 S INDIAN HILL BLVD, CLAREMONT, CA 91711-5444
(909) 399-2222
Mailing address
650 S INDIAN HILL BLVD, CLAREMONT, CA 91711-5444
(909) 399-2222

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AII060480918
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
106S00000X
Behavior Technician

Other

Enumeration date
11/11/2014
Last updated
05/16/2025
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