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KEITH ANGELIN NPI 1366977217


NPI Information

NPI: 1366977217
Provider Name: KEITH ANGELIN

Other Name: COUNSELING, INTERVENTION & ASSESSMENT SERVICES

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1510 S COAST HWY
OCEANSIDE, CA
ZIP 92054
Phone: (949) 939-9222
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KEITH ANGELIN is an addiction (substance use disorder) counselor in Oceanside, CA. KEITH ANGELIN NPI is 1366977217. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Counseling, Intervention & Assessment Services.

The provider's business location address is:

1510 S COAST HWY
OCEANSIDE, CA
ZIP 92054-355
Phone: (949) 939-9222
Fax: (866) 929-6316

The provider's authorized official is Keith Angelin .
The authorized official title is Licensed Alcohol And Drug Counselor and has the following contact phone number (949) 939-9222.

The enumeration date for this NPI number is 4/28/2017 and was last updated on 4/28/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)LR02541116CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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