Individual
ANGELA KAY GIDEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C
Contact information
Practice address
2402 CANYON LAKES DR, LUBBOCK, TX 79415-2000
(806) 762-5782
(806) 762-0838
Mailing address
5417 69TH ST, LUBBOCK, TX 79424-1511
(806) 762-5782
(806) 762-0838
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17817
TX
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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