Individual
ANGELA MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS STUDENT
Contact information
Practice address
1635 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1984
(203) 333-3518
(203) 382-5589
Mailing address
945 BRIDGEPORT AVE # 102, SHELTON, CT 06484-4662
(203) 243-2459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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