DEIDRA WILLIAMS ANGULO PSD, LISAC
NPI 1902408255
Counselor - Addiction (Substance Use Disorder) in Mesa, AZ

Q: What is Deidra Angulo's NPI number?

The NPI number for Deidra Angulo is 1902408255. It was assigned to this individual provider in the NPPES registry on November 11, 2020.

Q: What is Deidra Angulo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Deidra Angulo was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 11, 2020

5704 E GABLE AVE, MESA, AZ 85206(602) 524-1986 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Deidra Williams Angulo Psd, Lisac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEIDRA WILLIAMS ANGULO PSD, LISAC (NPI 1902408255) is an individual addiction (substance use disorder) provider in Mesa, Arizona, licensed in Arizona (11653) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1902408255

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameDEIDRA WILLIAMS ANGULOCredential: PSD, LISAC

Location Address5704 E GABLE AVEMesa, AZ 85206-6714

Mailing Address5704 E Gable AveMesa, AZ 85206-6714 · (602) 524-1986

Phone(602) 524-1986

Sole ProprietorYes

Enumeration DateNovember 11, 2020

NPPES CertifiedNovember 11, 2020

✔ NPI 1902408255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in AZ · 11653

5704 E GABLE AVE, Mesa, AZ 85206

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deidra Angulo's NPI number?

The NPI number for Deidra Angulo is 1902408255. It was assigned to this individual provider in the NPPES registry on November 11, 2020.

Where is Deidra Angulo located?

Deidra Angulo practices at 5704 E Gable Ave, Mesa, AZ 85206. The listed phone number is (602) 524-1986.

What is Deidra Angulo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Deidra Angulo was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.