Provider Demographics
NPI:1780469163
Name:ANGELE, BRIANNA (LPCC)
Entity type:Individual
Prefix:MRS
First Name:BRIANNA
Middle Name:
Last Name:ANGELE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:ANGELE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:578 STEPNEY ST APT 6
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90302-6569
Mailing Address - Country:US
Mailing Address - Phone:760-716-3249
Mailing Address - Fax:
Practice Address - Street 1:578 STEPNEY ST APT 6
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90302-6569
Practice Address - Country:US
Practice Address - Phone:760-716-3249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14240101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health