Provider Demographics
NPI:1902451669
Name:GATCHEL, ANGEL ANN-MARIE
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:ANN-MARIE
Last Name:GATCHEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 BERKSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:DIXON
Mailing Address - State:CA
Mailing Address - Zip Code:95620-2223
Mailing Address - Country:US
Mailing Address - Phone:707-365-3104
Mailing Address - Fax:
Practice Address - Street 1:715 BERKSHIRE CT
Practice Address - Street 2:
Practice Address - City:DIXON
Practice Address - State:CA
Practice Address - Zip Code:95620-2223
Practice Address - Country:US
Practice Address - Phone:707-365-3104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)