Individual
MRS. ANGELA RUTH CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
212 S 11TH ST, STE5, COEUR D ALENE, ID 83814-4000
(208) 664-0284
(208) 664-8828
Mailing address
586 S CLANCY DR, POST FALLS, ID 83854-7171
(208) 664-0284
(208) 664-8828
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-330
ID
Other
Enumeration date
12/12/2006
Last updated
04/25/2008
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