Individual
ROY LEE ANGEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
704 EMMET ST, PETOSKEY, MI 49770-2910
(231) 347-5511
(231) 347-5422
Mailing address
704 EMMET ST, PETOSKEY, MI 49770-2910
(231) 347-5511
(231) 347-5422
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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