Individual
ANGEL LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC, LPC
Contact information
Practice address
4340 ELM LAWN RD, OCONTO FALLS, WI 54154-9656
(920) 370-7676
Mailing address
3137 DREW AVE, NEW BERN, NC 28562-9161
(920) 370-7676
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18937-130
WI
101YP2500X
Professional Counselor
Primary
11395-125
WI
Other
Enumeration date
08/01/2019
Last updated
11/08/2024
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