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Angelina Koesnodihardjo
NPI 1225322175 · on the registry since 2011
Practice
- Address
- 957 Industrial Rd
Suite B
San Carlos, CA 94070 - Phone
- (415) 941-1751
- Fax
- (650) 620-9549
- Organisation at this address
- Egewood Center For Children And Families
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 142
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Sex
- Female
- Record last updated
- 2015-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California