Individual
ANGELA BACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 NORTHSIDE AVE, SUITE 101, RICHMOND, VA 23228-5441
(804) 840-6176
(804) 272-1571
Mailing address
3600 MERIDALE RD, RICHMOND, VA 23225-1145
(804) 840-6176
(804) 272-1571
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001567
VA
Other
Enumeration date
11/30/2011
Last updated
08/01/2014
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