| Doctor Name: | MISS ANGELA J. COUGLER |
| NPI Number: | 1215164306 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 206 Ford St Ogdensburg, NY - 136691426 |
| Business Phone Number: | 3153931164 |
| Business Fax Number: | 3153936461 |
| Mailing Address: | 80 State Highway 310, Suite 1 CANTON |
| State: | NY |
| Postal Code: | 136171493 |
| Phone Number: | 3153862189 |
| Fax Number: | 3153862435 |
| NPI Enumeration Date: | 06/16/2009 |
| NPI Last Update Date: | 05/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |