Individual
MRS. ANGELA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
N5735 FRANCES CIR, ALBANY, WI 53502-9339
(608) 293-7267
Mailing address
N5735 FRANCES CIR, ALBANY, WI 53502-9339
(608) 293-7267
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5364-125
WI
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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