Individual
PROF. MICHAEL ANTHONY ANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
250 MONROE AVE NW STE 400, GRAND RAPIDS, MI 49503-2293
(331) 575-5035
Mailing address
6430 OLD HUNTERS RUN, ROCKFORD, IL 61114-7812
(331) 575-5035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.009518
IL
101YM0800X
Mental Health Counselor
Primary
6401018853
MI
Other
Enumeration date
01/04/2013
Last updated
05/07/2026
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