Individual
ANGELA LYNN DEBOARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
9505 HULL STREET RD, SUITE C, NORTH CHESTERFIELD, VA 23236-1475
(804) 608-9597
(804) 763-3453
Mailing address
PO BOX 4504, MIDLOTHIAN, VA 23112-0010
(804) 608-9389
(804) 763-3453
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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