Individual
AMELIA ROSE ANGLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
86 N MITCHELL AVE, BAKERSVILLE, NC 28705-6502
(828) 688-2104
Mailing address
PO BOX 27, BAKERSVILLE, NC 28705-0027
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-26773
NC
1041C0700X
Clinical Social Worker
Primary
C014596
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C014596
LCSW
NC
Enumeration date
06/21/2019
Last updated
07/10/2024
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