Individual
ANGELIA EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(248) 787-0855
Mailing address
1258 MORSE AVE, ROYAL OAK, MI 48067-4514
(586) 552-7626
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6362009242
MI
Other
Enumeration date
11/03/2020
Last updated
06/07/2021
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