| Doctor Name: | MS. ANGELA C. DEMAIO |
| NPI Number: | 1346258415 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, LISAC |
| License Number: | LISAC-10968 |
| Business Practice Address: | 5380 E Kachina St Bldg. 4220 Davis Monthan Afb, AZ - 857074923 |
| Business Phone Number: | 5202282104 |
| Business Fax Number: | |
| Mailing Address: | 1339 E Fort Lowell Rd, Apt. D TUCSON |
| State: | AZ |
| Postal Code: | 857192217 |
| Phone Number: | 5203232448 |
| Fax Number: | |
| NPI Enumeration Date: | 08/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LISAC-10968 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |