Provider Demographics
NPI:1063692101
Name:YOUNG, ANGELA FELECIA (CMA)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:FELECIA
Last Name:YOUNG
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21240 SANTA MARIA DR
Mailing Address - Street 2:APT. C
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561-6701
Mailing Address - Country:US
Mailing Address - Phone:661-822-7355
Mailing Address - Fax:
Practice Address - Street 1:113 EAST 'F' STREET
Practice Address - Street 2:
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561-1710
Practice Address - Country:US
Practice Address - Phone:661-822-8223
Practice Address - Fax:661-823-9347
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor