Individual
MS. NOELLE MICHELLE ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
888 S HILLHURST RD, RIDGEFIELD, WA 98642-9063
(360) 887-6060
(607) 273-6383
Mailing address
888 S HILLHURST RD, RIDGEFIELD, WA 98642-9063
(360) 887-6060
(607) 273-6383
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60647981
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60893886
WA
Other
Enumeration date
12/03/2016
Last updated
04/29/2021
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