Individual
ANGELA LUREE BODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MAC, CAADC
Contact information
Practice address
559 AMSTERDAM AVE NE FRNT APT, ATLANTA, GA 30306-3416
(770) 695-9822
Mailing address
559 AMSTERDAM AVE NE FRNT APT, ATLANTA, GA 30306-3416
(770) 695-9822
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C0209
GA
101YP2500X
Professional Counselor
Primary
010069
GA
Other
Enumeration date
04/03/2018
Last updated
04/10/2018
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