Individual
MRS. ANGELA MARVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2413 GLENCOE ST, SPRINGFIELD, IL 62704-6588
(217) 415-4052
Mailing address
2413 GLENCOE ST, SPRINGFIELD, IL 62704-6588
(217) 415-4052
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180001060
IL
Other
Enumeration date
05/23/2007
Last updated
08/13/2013
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