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NPI 1053810606

NPI 1053810606 : ANGELICA SABIANO LCSW : SANTA ANA, CA

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General NPI Number Information
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    NPI Number           |    1053810606
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELICA SABIANO LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/09/2018
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    Last Update Date     |    08/09/2024
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Provider Practice Location Address
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    Address Line         |    2677 N MAIN ST STE 130 
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    City                 |    SANTA ANA
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    State                |    CA
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    Zip                  |    92705-6665
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    Country              |    US
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    Telephone            |    714-274-7577
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1845 W ADAMS BLVD 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90018-2709
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    89819
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    108015
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    License Number State |    CA
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