Provider Demographics
NPI:1598990350
Name:BRUTUS, ANGEL L (LPCC, ACS, BC-TMH)
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:L
Last Name:BRUTUS
Suffix:
Gender:F
Credentials:LPCC, ACS, BC-TMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39252 WINCHESTER RD STE 107-375
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-3509
Mailing Address - Country:US
Mailing Address - Phone:404-992-0071
Mailing Address - Fax:
Practice Address - Street 1:39610 CALLE AZUCAR
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-4362
Practice Address - Country:US
Practice Address - Phone:404-992-0071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-22
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC10431101YM0800X
MS2302101YM0800X
NY012895-01101YM0800X
GALPC005112101YP2500X
NVCP5941-R101YM0800X
COLPC0017263101YM0800X
UT12682945-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional