Provider Demographics
NPI:1730434473
Name:LLANA, ANABELLE MANGLONA (BSW)
Entity type:Individual
Prefix:MRS
First Name:ANABELLE
Middle Name:MANGLONA
Last Name:LLANA
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8003 WINTER GARDENS BLVD
Mailing Address - Street 2:APT 210
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-1485
Mailing Address - Country:US
Mailing Address - Phone:619-528-2363
Mailing Address - Fax:619-682-4037
Practice Address - Street 1:6160 MISSION GORGE RD
Practice Address - Street 2:108
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-3410
Practice Address - Country:US
Practice Address - Phone:619-528-2363
Practice Address - Fax:619-682-4037
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health