Individual
ANGELA BONCK MCALISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
19344 N 10TH ST, COVINGTON, LA 70433-8877
(985) 542-5445
Mailing address
19344 N 10TH ST, COVINGTON, LA 70433-8877
(985) 542-5445
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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