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General NPI Number Information
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NPI Number | 1811834948
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Entity Type | Individual
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Provider Name | ANGEL MCCLEESE
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Gender | Female
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 301 FALLS DR NW STE 353
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City | ABINGDON
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State | VA
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Zip | 24210-8093
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Country | US
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Telephone | 877-848-9810
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Fax |
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Provider Business Mailing Address
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Address Line | 1144 HORN MOUNTAIN RD
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City | RAVEN
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State | VA
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Zip | 24639-7569
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0704018442
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License Number State | VA
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