Individual provider · Type 1 NPI
Angie M. Church, LCMHC
Professional Counselor · North Wilkesboro, NC
NPI number
1083989495
Active
Practice location
204 Jefferson St Ste 106
North Wilkesboro, NC 28659-3586
Fax (336) 667-7720
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 9140 (NC) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1083989495
Angie M. Church, LCMHC's National Provider Identifier is 1083989495, issued on Mar 19, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in North Wilkesboro, NC. The record was last updated on Mar 11, 2024.