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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANGELINA KOESNODIHARDJO

Active

ANGELINA KOESNODIHARDJO is a Mental Health Counselor healthcare provider located in SAN CARLOS, California. NPI 1225322175 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · SAN CARLOS, CA

Registration Details

NPI Number
1225322175
Provider Type
Individual
Gender
Female
NPI Issued
Jun 7, 2011 (15.169310787424 yrs)
Last Updated
Jul 29, 2015

Practice Information

Address
957 INDUSTRIAL RD
SUITE B
SAN CARLOS, CA, 940704151
Browse CA providers · Browse ZIP 94070
Phone
4159411751
Fax
6506209549
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in SAN CARLOS, CA

Name Credential NPI
WILLIAM A MOYA ASW 1356413348
MS. MICHELLE YVETTE WILLIAMS AA 1588716344
MS. NATALIA ELISA ESTASSI MA 1780721308
SUZY MANUELIAN PSY.D. 1700912359
CANDICE NEWNES 1871710442
ELISA ROMEO 1780801357
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.