Addison, Angel

Addison, Angel is an individual health care provider with primary practice located at 1701 White St , Mccomb MS 39648-2711. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Addison, Angel can be contacted via phone (601) 249-4217.

Contact Information

Primary practice address
1701 White St Mccomb MS 39648-2711
Fax: (601) 249-4234
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1982003547
LBN Legal business name Addison, Angel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2014
Last updated Aug 20th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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