Angelina Koesnodihardjo
Angelina Koesnodihardjo is a Mental Health Counselor in San Carlos, California. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
957 Industrial Rd Ste BSan Carlos, CA 94070-4151
Phone: (415) 941-1751
Fax: (650) 620-9549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1225322175 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 7, 2011 |
| Last updated in NPPES | July 29, 2015 |
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