Damron, Angela

Damron, Angela is an individual health care provider with primary practice located at 104 S Front Ave , Prestonsburg KY 41653. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Damron, Angela can be contacted via phone (606) 886-8572.

Contact Information

Primary practice address
104 S Front Ave Prestonsburg KY 41653
Phone: (606) 886-8572
Fax: (606) 886-4433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 252536 Kentucky

Profile Details

NPI number 1720345143
LBN Legal business name Damron, Angela
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2012
Last updated Mar 27th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720345143 NPPES
Kentucky MEDICAID 7100453520

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