Provider Demographics
NPI:1073292116
Name:CARON, ANGELE (AMFT, APCC)
Entity Type:Individual
Prefix:MS
First Name:ANGELE
Middle Name:
Last Name:CARON
Suffix:
Gender:F
Credentials:AMFT, APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 56885
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91413-1885
Mailing Address - Country:US
Mailing Address - Phone:323-207-6674
Mailing Address - Fax:
Practice Address - Street 1:14024 OXNARD ST APT 18
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-3816
Practice Address - Country:US
Practice Address - Phone:323-207-6674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA131031106H00000X
CA11157101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor