| Doctor Name: | MR. RAYMOND ANTHONY D'ANGELO |
| NPI Number: | 1598822678 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, LPC, NCC, CSMS |
| License Number: | PC002798 |
| Business Practice Address: | 2500 Canoe Ripple Rd Sligo, PA - 162551648 |
| Business Phone Number: | 8143582348 |
| Business Fax Number: | 7247354674 |
| Mailing Address: | Po Box 263, BOYERS |
| State: | PA |
| Postal Code: | 160200263 |
| Phone Number: | 7247354674 |
| Fax Number: | 7247354674 |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 02/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC002798 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |