Individual
ANGEL RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 HUDSON LN, SUITE 202, MONROE, LA 71201-6068
(318) 329-1388
Mailing address
1401 HUDSON LN, SUITE 202, MONROE, LA 71201-6068
(318) 329-1388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306217062
MENTAL HEALTH
LA
Enumeration date
12/05/2016
Last updated
12/05/2016
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