Individual
ANGELA JEAN STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2600 DEMERS AVE STE 101, GRAND FORKS, ND 58201-4100
(701) 757-3045
(701) 751-3046
Mailing address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 232-2340
(701) 232-2330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH17075
FL
101YP2500X
Professional Counselor
Primary
1311-7-15-23-533
ND
101YP2500X
Professional Counselor
CC03928
MN
Other
Enumeration date
01/29/2020
Last updated
08/02/2023
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