Individual
MRS. ANGELA LYNN GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC, LGADC
Contact information
Practice address
280 STAFFORD RD, PRINCE FREDERICK, MD 20678-3582
(410) 535-3079
(410) 535-2220
Mailing address
PO BOX 1158, PRINCE FREDERICK, MD 20678-1158
(410) 535-5400
(410) 535-5285
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LGA2122
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LGP5207
MD
Other
Enumeration date
03/27/2009
Last updated
03/26/2015
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