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General NPI Number Information
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NPI Number | 1699826941
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Entity Type | Individual
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Provider Name | ANGELA ANNETTE ANDERSON PHD, LPC, NCC, ACS
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Gender | Female
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 3320 MILL CREEK RD
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City | MILLBORO
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State | VA
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Zip | 24460-2668
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Country | US
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Telephone | 540-589-8243
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Fax |
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Provider Business Mailing Address
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Address Line | 3320 MILL CREEK RD
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City | MILLBORO
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State | VA
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Zip | 24460-2668
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Country | US
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Telephone | 540-589-8243
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701004151
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License Number State | VA
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