Individual
ANGELA JEANNE REAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
1751 SARNO RD, MELBOURNE, FL 32935-4909
(321) 775-1517
Mailing address
803 N FISKE BLVD, COCOA, FL 32922-7323
(321) 637-7730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 9711
FL
Other
Enumeration date
05/17/2006
Last updated
06/01/2016
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