Individual
ANGELA KAYE AURELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
6733 CAMP BOWIE BLVD, FORT WORTH, TX 76116-7112
(817) 386-9180
(817) 386-9138
Mailing address
6733 CAMP BOWIE BLVD, FORT WORTH, TX 76116-7112
(817) 386-9180
(817) 386-9138
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14987
TX
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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