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NPI Code Detail

MEDICARE: MRS. ANGEL BETH PAIGE LPCC, LPC, LISAC

MEDICARE: MRS. ANGEL BETH PAIGE LPCC, LPC, LISAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLPC-19992AZ
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1093946790
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGEL BETH PAIGE LPCC, LPC, LISAC
Provider Business Mailing Address
First Line : 401 W BASELINE RD
Second Line :
City : TEMPE
State : AZ
Zip : 85283-5348
Country : US
Telephone Number : 507-829-4139
Fax Number :
Provider Business Practice Location Address
First Line : 401 W BASELINE RD
Second Line :
City : TEMPE
State : AZ
Zip : 85283-5348
Country : US
Telephone Number : 507-829-4139
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2009
Last Update Date : 06/22/2023

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