ANGELINE BAUCOM

VISTA, CA
NPI1497390066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  117454)
Additional Taxonomies101YA0400X Counselor Addiction (Substance Use Disorder)
101YM0800X Counselor Mental Health
(Licence: CA  117454)
Enumeration Date2019-11-07
Last Update Date2023-06-30
Business Address
ANGELINE BAUCOM RADT-1
993 POSTAL WAY
VISTA, CA 92083-6945
Phone number: 760-630-9922
Mailing Address
ANGELINE BAUCOM RADT-1
993 POSTAL WAY
VISTA, CA 92083-6945
Phone number: 760-630-9922