Individual ProviderAngela Elaine Ealy-HaleCounselorBehavioral Health & Social Service ProvidersPractice Address1212 N California St, Stockton, CA 95202-1552(209) 468-8700PECOS EnrollmentBased on the most recent information from CMS, provider Angela Elaine Ealy-Hale does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1083837280Provider TypeIndividualFull NameEaly-Hale, Angela ElaineGenderFemaleSole ProprietorNoEnumeration Date4/10/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address1212 N California St, Stockton, CA 95202-1552Phone(209) 468-8700FaxUnlisted FaxMailing LocationMailing Address1212 N California St, Stockton, CA 95202-1552Phone(209) 468-8700FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer