Doctor Name: | MISS ANGELANA MARIE KREEGER |
NPI Number: | 1457565145 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, PLPC |
License Number: | 2005010425 |
Business Practice Address: | 7 Westowne Suite 403 St. Charles, MO - 64068 |
Business Phone Number: | 8164071754 |
Business Fax Number: | 8164071739 |
Mailing Address: | 900 E. La Harpe St., KIRKSVILLE |
State: | MO |
Postal Code: | 63501 |
Phone Number: | 6606651962 |
Fax Number: | 6606653989 |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 02/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2005010425 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |