Provider Demographics
NPI:1730328923
Name:ARENDT, ANGELA THERESE (MA, LMFT)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:THERESE
Last Name:ARENDT
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 S GLASSELL ST
Mailing Address - Street 2:SUITE 100G
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92866-3004
Mailing Address - Country:US
Mailing Address - Phone:714-460-2974
Mailing Address - Fax:714-281-3960
Practice Address - Street 1:630 S GLASSELL ST
Practice Address - Street 2:SUITE 100G
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866-3004
Practice Address - Country:US
Practice Address - Phone:714-460-2974
Practice Address - Fax:714-281-3960
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 34953106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist