Individual
ANGELA MARIE SHANKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LADAC II
Contact information
Practice address
306 42ND AVE N, NASHVILLE, TN 37209-3602
(615) 830-2764
Mailing address
2220A CABIN HILL RD, NASHVILLE, TN 37214-1410
(615) 830-2764
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1245
TN
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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