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Individual

ANGELA OGLECLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC, CRC

Contact information

Practice address
315 N THREE NOTCH ST, TROY, AL 36081-2021
(334) 372-0346
(256) 701-6926
Mailing address
315 N THREE NOTCH ST, TROY, AL 36081-2021
(334) 372-0346
(256) 701-6926

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2482
AL
225C00000X
Rehabilitation Counselor
00117998
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00117998
STATE CRC LICENSE
AL
01
2482
STATE LPC LICENSE
AL
Enumeration date
06/25/2021
Last updated
06/25/2021
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