Provider Demographics
NPI:1407499916
Name:SANGEL, MARIE P (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:P
Last Name:SANGEL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:MARIE
Other - Middle Name:
Other - Last Name:SANGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 S KRAEMER BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-6109
Mailing Address - Country:US
Mailing Address - Phone:562-921-5701
Mailing Address - Fax:
Practice Address - Street 1:101 S KRAEMER BLVD STE 110
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-6109
Practice Address - Country:US
Practice Address - Phone:562-921-5701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-28
Last Update Date:2022-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA115727106H00000X
CA134468106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist