Individual
ANGUS C RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
201 E 11TH ST, SPENCER, IA 51301-4460
(712) 363-8499
Mailing address
201 E 11TH ST, SPENCER, IA 51301-4460
(712) 262-2922
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T19040
IA
Other
Enumeration date
08/26/2019
Last updated
09/20/2021
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