Individual
ANGELA FAYE NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Mailing address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-04-10732
OR
101YM0800X
Mental Health Counselor
24-QMHA-II-000261
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4060013
ODL
OR
Enumeration date
07/24/2019
Last updated
05/29/2025
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