Individual
MRS. ANGELA DAWN PORATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC, CADC
Contact information
Practice address
600 42ND ST, DES MOINES, IA 50312-2701
(515) 255-8399
Mailing address
600 42ND ST, DES MOINES, IA 50312-2701
(515) 255-8399
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001090
IA
Other
Enumeration date
06/16/2011
Last updated
08/09/2013
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