Provider Demographics
NPI:1386187201
Name:ARNOLD, ANGELA (AMFT-281274- CADCII)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:AMFT-281274- CADCII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5789 LOS ARCOS WAY
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-2724
Mailing Address - Country:US
Mailing Address - Phone:949-558-6322
Mailing Address - Fax:
Practice Address - Street 1:5789 LOS ARCOS WAY
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-2724
Practice Address - Country:US
Practice Address - Phone:949-558-6322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-25
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator