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Individual
MATTHEW RYAN ANGLEMAN
Active
Individual
MATTHEW RYAN ANGLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LPC.0014852
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982865580
—
CO
Enumeration date
08/19/2015
Last updated
08/30/2020
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