Thomas, Angela Dawn
Thomas, Angela Dawn is an individual health care provider with primary practice located at 516 S Pokegama Ave , Grand Rapids MN 55744-3820. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Thomas, Angela Dawn can be contacted via phone (218) 327-2001.Contact Information
Primary practice address
516 S Pokegama Ave
Grand Rapids MN 55744-3820
Phone: (218) 327-2001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CC04277 | Minnesota |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CC04277 | Minnesota |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 305922 | Minnesota |
Profile Details
| NPI number | 1184482929 |
|---|---|
| LBN Legal business name | Thomas, Angela Dawn |
| Credentials | MA, LPCC, LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2024 |
| Last updated | Mar 7th, 2024 - about 2 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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