Individual
ANGELA KAY HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
706 OGLESBY AVE STE 120, NORMAL, IL 61761-4617
(309) 838-2581
Mailing address
106 SUELYNN DR, NORMAL, IL 61761-1338
(309) 838-2581
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-008419
IL
Other
Enumeration date
09/16/2011
Last updated
11/12/2020
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