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Individual

ANGELA STICKELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LCDC

Contact information

Practice address
9946 E BANKHEAD HWY, ALEDO, TX 76008-2642
(817) 264-7009
Mailing address
PO BOX 607, ALEDO, TX 76008-0607
(817) 264-7009

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14055
TX
101YP2500X
Professional Counselor
Primary
78112
TX

Other

Enumeration date
08/25/2019
Last updated
08/25/2019
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