Individual
ANGELA CHARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, ATR
Contact information
Practice address
4820 W 77TH ST STE 130, EDINA, MN 55435-4832
(651) 313-8080
Mailing address
4820 W 77TH ST STE 130, EDINA, MN 55435-4832
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3845
MN
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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