Doctor Name: | ANGELA RENAE LAMISON |
NPI Number: | 1124250196 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED, LPC |
License Number: | PC005245 |
Business Practice Address: | 837 5th Ave Ford City, PA - 162261108 |
Business Phone Number: | 7247637600 |
Business Fax Number: | |
Mailing Address: | 911 Pony Farm Rd, KITTANNING |
State: | PA |
Postal Code: | 162014735 |
Phone Number: | 7246641299 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2009 |
NPI Last Update Date: | 08/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC005245 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |