Provider Demographics
NPI:1992101679
Name:ANGEL, ANGELA DAWN
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:DAWN
Last Name:ANGEL
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ANGELA
Other - Middle Name:DAWN
Other - Last Name:SABEAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:315 W CARRILLO ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-6904
Mailing Address - Country:US
Mailing Address - Phone:805-963-8156
Mailing Address - Fax:805-564-8025
Practice Address - Street 1:315 W CARRILLO ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-6904
Practice Address - Country:US
Practice Address - Phone:805-963-8156
Practice Address - Fax:805-564-8025
Is Sole Proprietor?:No
Enumeration Date:2014-11-07
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator