Individual
MICHAEL DOMINICK DEANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
600 S ROSEWOOD DR, CLARKSVILLE, TN 37043-5268
(931) 218-6100
(931) 477-2377
Mailing address
600 S ROSEWOOD DR, CLARKSVILLE, TN 37043-5268
(931) 218-6100
(931) 477-2377
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4827
TN
Other
Enumeration date
06/07/2012
Last updated
09/29/2022
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