Individual
ANGELA RENEE SPELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
748 BROADWAY, DUNEDIN, FL 34698-6973
(727) 386-6495
Mailing address
748 BROADWAY, DUNEDIN, FL 34698-6973
(727) 386-6495
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH11558
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164581633
—
FL
Enumeration date
09/02/2009
Last updated
08/30/2013
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