Individual
MRS. ANGELA DAWN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, CT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.0800521-TEMP
OH
101YM0800X
Mental Health Counselor
E.0800521
OH
101YP2500X
Professional Counselor
C.0800521-TEMP
OH
101YP2500X
Professional Counselor
Primary
E.0800521
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3065874
—
OH
Enumeration date
01/21/2010
Last updated
11/05/2015
Update your record
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