Individual
ANGELA LYNN SEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CADC
Contact information
Practice address
246 N CURLEW DR APT 3105, AMMON, ID 83401-1434
(208) 569-6670
Mailing address
2225 W BROADWAY ST STE A, IDAHO FALLS, ID 83402-2991
(208) 528-4220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11766
ID
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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