Provider Demographics
NPI:1437366937
Name:SALMERON, ANGELICA C
Entity Type:Individual
Prefix:MS
First Name:ANGELICA
Middle Name:C
Last Name:SALMERON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 VAN NESS AVE
Mailing Address - Street 2:#217
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-1869
Mailing Address - Country:US
Mailing Address - Phone:510-717-7931
Mailing Address - Fax:
Practice Address - Street 1:205 13TH ST # 3300
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2461
Practice Address - Country:US
Practice Address - Phone:415-552-4660
Practice Address - Fax:415-552-4137
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor