Doctor Name: | ANGELA LYNN RAYMOND |
NPI Number: | 1508068842 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 513-126 |
Business Practice Address: | 323 E La Salle Ave Barron, WI - 548121502 |
Business Phone Number: | 7155379921 |
Business Fax Number: | 7155371607 |
Mailing Address: | 17497 175th Ave, BLOOMER |
State: | WI |
Postal Code: | 547244509 |
Phone Number: | 7152885828 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 03/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 513-126 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |