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Individual

MS. ANGELA M. ANTHONY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS ED., LMHC, NCC

Contact information

Practice address
1924 D ST SW, CEDAR RAPIDS, IA 52404-2918
(319) 363-0636
Mailing address
1621 CHARLESTON DR, MARION, IA 52302-1781
(319) 447-1198

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00788
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00788
IOWA LICENSURE
IA
Enumeration date
05/13/2007
Last updated
10/27/2008
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