Stephanie M Angell

Individual provider Active NPI Mental Health Counselor · Edmonds, WA

NPI 1104962141 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1104962141
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
RC00056780 (WA)
Practice address
547 Dayton St
Edmonds, WA 98020-3431
Phone
(425) 771-5166
Fax
(425) 670-2807
NPI assigned
Jan 29, 2007
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
RC00056780WAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X RC00056780 WA Yes

Addresses

Primary practice location

547 Dayton St
Edmonds, WA 98020-3431

Mailing address

23427 23Rd Ave SE
Bothell, WA 98021-9646
Phone (425) 771-5166

Other providers in Edmonds, WA

All providers in Edmonds, WA · Mental Health Counselor in Washington

Sources for this page

Verify at the official NPI Registry.