Individual
COLLEEN ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
114 GRAND AVE, WAUSAU, WI 54403-6214
(715) 845-7175
(715) 845-7142
Mailing address
114 GRAND AVE, WAUSAU, WI 54403-6214
(715) 845-7175
(715) 845-7142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3399-226
WI
101YP2500X
Professional Counselor
Primary
7927-125
WI
Other
Enumeration date
02/07/2017
Last updated
08/25/2020
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