Individual
ANGELA L FEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
341 BOGLE STREET, STE A, SOMERSET, KY 42503-2815
(606) 678-0705
(606) 678-2807
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1629
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11490013
CAQH
—
05
—
7100279870
—
KY
Enumeration date
05/16/2006
Last updated
09/06/2023
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