Individual
MISS ANGEL M STAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2335 STERLINGTON RD STE 100, LEXINGTON, KY 40517-3937
(859) 912-7670
Mailing address
3840 TROUT CT, LEXINGTON, KY 40517-5300
(859) 533-5280
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
282119
KY
171M00000X
Case Manager/Care Coordinator
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
04/26/2010
Last updated
03/22/2023
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