Individual
ANGEL RENEE BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
200 MULBERRY ST STE A, BOONEVILLE, KY 41314-7505
(606) 593-6023
Mailing address
200 MULBERRY ST STE A, BOONEVILLE, KY 41314-7505
(606) 593-6023
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
297557
KY
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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