Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deidra Williams Angulo, PSD, LISAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1902408255

Deidra Williams Angulo, PSD, LISAC is an Addiction (Substance Use Disorder) Counselor in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020

Practice location Address checks out

5704 E Gable Ave
Mesa, AZ 85206-6714
Phone: (602) 524-1986
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 11653 (AZ)

Record details

NPI number1902408255
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSD , LISAC
Sole proprietorYes
NPI enumeratedNovember 11, 2020
Last updated in NPPESNovember 11, 2020
Certification dateNovember 11, 2020
Mailing address5704 E Gable Ave, Mesa, AZ 85206-6714

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