Angela Rose, LMFT 98940
Marriage & Family Therapist in Soquel, CA. Individual provider (NPI-1).
NPI number1750790366
StatusActive
Last updated in NPPESJun 21, 2019
Details
- NPI
- 1750790366
- Entity type
- Individual (NPI-1)
- Name
- Angela Rose
- Credential
- LMFT 98940
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 7, 2014
- Last updated
- Jun 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 98940 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | 70937 | CA |
Practice location
2901 Park Ave Ste B10Soquel, CA 95073-2831
Phone 831-471-7165
Mailing address
Po Box 576Felton, CA 95018-0576
Phone 831-471-7165
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All 61 Marriage & Family Therapist providers in Soquel · All 321 providers in Soquel
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