Individual
ANGELICA YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1732 SE MOBERLY LN, BENTONVILLE, AR 72712-9239
(479) 301-9132
Mailing address
1706 S WALTON BLVD UNIT 835, BENTONVILLE, AR 72712-2646
(479) 301-9132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P2209022
LPC LICENSE
AR
Enumeration date
10/10/2022
Last updated
08/30/2023
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