Provider Demographics
NPI:1720764244
Name:GABRIEL, ANGELA MAE (MSW)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:MAE
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:N/A
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:N/A
Mailing Address - Street 1:91-1568 MILIMILI ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-5674
Mailing Address - Country:US
Mailing Address - Phone:808-392-7628
Mailing Address - Fax:
Practice Address - Street 1:1345 S BERETANIA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1802
Practice Address - Country:US
Practice Address - Phone:808-392-7628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health