Individual
ANGELA JEAN DEVINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4801 SANGER AVE APT 57, WACO, TX 76710-5859
(254) 722-0925
Mailing address
4801 SANGER AVE APT 57, WACO, TX 76710-5859
(254) 722-0925
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16935
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210105701
—
TX
Enumeration date
04/16/2010
Last updated
05/13/2010
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