Individual
ANGELIQUE JEANINE LAM SLATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
487 STONE BROOK DR, GALAX, VA 24333-6227
(276) 233-3764
(276) 236-8880
Mailing address
487 STONE BROOK DR, GALAX, VA 24333-6227
(276) 233-3764
(276) 236-8880
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005404
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
601027524
—
VA
Enumeration date
07/01/2015
Last updated
08/29/2024
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