Angela Marguerite Harrington

Individual provider Active NPI Peer Specialist · Crestline, CA

NPI 1851020697 · NPPES record last updated Jun 7, 2022

Key facts

NPI
1851020697
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
340 Ca Hwy 138
Crestline, CA 92325
Phone
(909) 336-3330
Fax
(951) 300-4719
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Counseling & Training, Inc. Current
since Jun 12, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

340 Ca Hwy 138
Crestline, CA 92325

Mailing address

PO Box 6300
Crestline, CA 92325-6300
Phone (909) 336-3330

Other providers in Crestline, CA

All providers in Crestline, CA · Peer Specialist in California

Sources for this page

Verify at the official NPI Registry.