Individual provider · NPI-1

Nanette Marie Angelle, LPC

Counselor, Professional · Crowley, LA

NPI number1417629601
StatusActive
Last updated in NPPESOct 5, 2021

Details

NPI
1417629601
Entity type
Individual (NPI-1)
Name
Nanette Marie Angelle
Credential
LPC
Sex
Female
Sole proprietor
No
Enumeration date
Oct 5, 2021
Certification date
Oct 5, 2021
Last updated
Oct 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional6990LAYes

Practice location

1822 W 2nd St
Crowley, LA 70526-4720

Phone 337-788-7511 · Fax 337-788-7588

Mailing address

1822 W 2nd St
Crowley, LA 70526-4720

Phone 337-788-7511 · Fax 337-788-7588

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