Individual
MICHAEL ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
8333 E BLUE PKWY, KANSAS CITY, MO 64133-4750
(816) 474-7677
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 224-1210
(636) 246-1008
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019019422
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019019422
MISSOURI LICENSE
MO
Enumeration date
06/11/2019
Last updated
04/22/2024
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