Individual
MS. ANGELA STARR OSMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
1806 EDGEWOOD DR, ELIZABETH CITY, NC 27909-6618
(772) 766-3810
(252) 338-1779
Mailing address
1806 EDGEWOOD DR, ELIZABETH CITY, NC 27909-6618
(772) 766-3810
(252) 338-1779
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
206
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111793
—
NC
Enumeration date
10/06/2006
Last updated
03/06/2012
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