Individual provider · Type 1 NPI
Deidra Williams Angulo, PSD, LISAC
Addiction (Substance Use Disorder) Counselor · Mesa, AZ
NPI number
1902408255
Active
Practice location
5704 E Gable Ave
Mesa, AZ 85206-6714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11653 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1902408255
Deidra Williams Angulo, PSD, LISAC's National Provider Identifier is 1902408255, issued on Nov 11, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mesa, AZ. The record was last updated on Nov 11, 2020.