| Doctor Name: | MISS ANGELA J SUMTER |
| NPI Number: | 1124315130 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CADC |
| License Number: | 364 |
| Business Practice Address: | 17675 S Muskogee Ave Tahlequah, OK - 744645492 |
| Business Phone Number: | 9183168258 |
| Business Fax Number: | |
| Mailing Address: | Po Box 948, TAHLEQUAH |
| State: | OK |
| Postal Code: | 744650948 |
| Phone Number: | 9183168258 |
| Fax Number: | |
| NPI Enumeration Date: | 06/29/2011 |
| NPI Last Update Date: | 06/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 364 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |