Individual
ANGIE HOSTETLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADAC II
Contact information
Practice address
2602 MERCHANTS WALK, MURFREESBORO, TN 37128-2863
(615) 556-0423
Mailing address
122 MCKENZIE CT, MURFREESBORO, TN 37129-8940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1200
TN
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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