Individual
MS. ANGELINA LERAE NORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACADC, MSW
Contact information
Practice address
3760 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7593
(208) 522-0140
(208) 522-4004
Mailing address
3760 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7593
(208) 522-0140
(208) 522-4004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
205564
ID
104100000X
Social Worker
25043
ID
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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