Roy Lee Angel Jr.
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Petoskey, MI
NPI 1013482728 · NPPES record last updated Oct 9, 2018
Key facts
- NPI
- 1013482728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 704 Emmet St
Petoskey, MI 49770-2910 - Phone
- (231) 347-5511
- Fax
- (231) 347-5422
- NPI assigned
- Oct 9, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
704 Emmet St
Petoskey, MI 49770-2910
Mailing address
704 Emmet St
Petoskey, MI 49770-2910
Phone (231) 347-5511
Other providers in Petoskey, MI
- Amelia Fettig Counseling
- Amy L. Juneau, LMSW, Osw-C, LLC
- Adam Ancel
- Joshua Thomas Anderson
- Kurt B Anderson
- Deanna Angers
- Joseph Angileri
- Michael A Angileri
- Frank Animikwam
- Anthony Alessi DPM PC
All providers in Petoskey, MI · Addiction (Substance Use Disorder) Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.