Individual
MS. ANGELA POYTHRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
523 MADISON ST., BOYDTON, VA 23917
(434) 738-0154
(434) 572-4881
Mailing address
PO BOX 1478, CLARKSVILLE, VA 23927-1478
(434) 572-6916
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701002935
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700890761 - GR. NPI
—
VA
01
—
185980
ANTHEM - HALIFAX
VA
01
—
185982
ANTHEM - MECK
VA
01
—
185984
ANTHEM - BRUNS
VA
01
—
522666
VALUE OPTIONS
VA
01
—
O89322M
SENTARA
VA
Enumeration date
07/28/2006
Last updated
06/01/2020
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