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General NPI Number Information
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NPI Number | 1689011306
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Entity Type | Individual
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Provider Name | ANGELA JOYCE COREIL PHD, LP, LPC-S
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Gender | Female
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Dates
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Enumeration Date | 06/04/2013
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 1333 W MCDERMOTT DR STE 150
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City | ALLEN
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State | TX
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Zip | 75013-3088
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Country | US
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Telephone | 214-561-7445
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Fax |
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Provider Business Mailing Address
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Address Line | 1333 W MCDERMOTT DR STE 150
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City | ALLEN
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State | TX
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Zip | 75013-3088
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Country | US
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Telephone | 316-573-6039
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Fax | 469-298-8913
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 38146
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5332-125
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 93174
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License Number State | TX
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