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NPI 1225826076

NPI 1225826076 : ANTHONY ALVEZ ANGELES MA COUNSELING : HIXSON, TN

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General NPI Number Information
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    NPI Number           |    1225826076
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    Entity Type          |    Individual 
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    Provider Name        |    ANTHONY ALVEZ ANGELES MA COUNSELING
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/30/2025
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    Last Update Date     |    01/08/2026
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Provider Practice Location Address
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    Address Line         |    8305 DAISY DALLAS RD 
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    City                 |    HIXSON
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    State                |    TN
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    Zip                  |    37343-1453
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    Country              |    US
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    Telephone            |    877-358-2998
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1101 W 40TH ST UNIT 2225 
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    City                 |    CHATTANOOGA
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    State                |    TN
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    Zip                  |    37409-1379
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    Country              |    US
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    Telephone            |    877-358-2998
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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