Provider Demographics
NPI:1639691405
Name:PARRY, ANGELA (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:
Last Name:PARRY
Suffix:
Gender:F
Credentials:MA, LMFT
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 893811
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92589-3811
Mailing Address - Country:US
Mailing Address - Phone:951-491-5692
Mailing Address - Fax:
Practice Address - Street 1:29645 RANCHO CALIFORNIA RD # 133C
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591
Practice Address - Country:US
Practice Address - Phone:951-693-9800
Practice Address - Fax:951-693-9800
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF89774101YM0800X, 106H00000X
CALMFT106658106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health