Individual
MR. GRANVILLE WILLIAMS ANGELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDS, LPC, NCC
Contact information
Practice address
7894 FALLING BROOK LN, VALE, NC 28168-9396
(704) 276-1117
Mailing address
7894 FALLING BROOK LN, VALE, NC 28168-9396
(704) 276-1117
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
798
NC
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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