Individual
ANGELA GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
770 W RIDGE RD STE 220, WYTHEVILLE, VA 24382-1187
(276) 223-3202
Mailing address
770 W RIDGE RD, WYTHEVILLE, VA 24382-1187
(276) 223-3206
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007849
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701007849
DEPARTMENT OF HEALT PROFESSIONS
VA
Enumeration date
01/02/2019
Last updated
06/21/2019
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