MEDICARE: ANGELA A HIPSLEY CAC-AD

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1538875737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA A HIPSLEY CAC-AD

Provider Business Mailing Address
First Line	:	458 3RD ST
Second Line	:
City	:	TANEYTOWN
State	:	MD
Zip	:	21787-2345
Country	:	US
Telephone Number	:	443-277-1120
Fax Number	:

Provider Business Practice Location Address
First Line	:	66 E MAIN ST
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-5008
Country	:	US
Telephone Number	:	240-800-1171
Fax Number	:	240-800-1171

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2023
Last Update Date	:	01/30/2023

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Directions to “ ANGELA A HIPSLEY CAC-AD” Practice Location

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