Individual
ANGELLA K AXELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3010 TRENT RD, NEW BERN, NC 28562-5735
(252) 636-0001
Mailing address
411 EMMEN RD, NEW BERN, NC 28562-8798
(252) 617-9191
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3164
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102129
—
NC
Enumeration date
01/15/2007
Last updated
07/08/2007
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