Provider Demographics
NPI:1992530695
Name:TERRAZAS, ANGELA (LPC)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:
Last Name:TERRAZAS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2271 LAKE AVE UNIT 6744
Mailing Address - Street 2:
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91003-7057
Mailing Address - Country:US
Mailing Address - Phone:626-463-3783
Mailing Address - Fax:
Practice Address - Street 1:3821 LUNA CT
Practice Address - Street 2:
Practice Address - City:ALTADENA
Practice Address - State:CA
Practice Address - Zip Code:91001-3865
Practice Address - Country:US
Practice Address - Phone:626-463-3783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC11277101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health