Individual
ANGELA MARIE TAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1056 ALPINE DR, GREEN BAY, WI 54311-5400
(231) 420-6707
(000) 000-0000
Mailing address
1056 ALPINE DR, GREEN BAY, WI 54311-5400
(231) 420-6707
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10336-125
WI
101YP2500X
Professional Counselor
LPC-2028
WY
101YP2500X
Professional Counselor
PPC-1114
WY
Other
Enumeration date
04/27/2016
Last updated
09/06/2024
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