Individual provider · Type 1 NPI
Angela Marie Tayson, MA, LPC
Professional Counselor · Green Bay, WI
NPI number
1477908465
Active
Practice location
1056 Alpine Dr
Green Bay, WI 54311-5400
Fax (000) 000-0000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | PPC-1114 (WY) |
| Professional Counselor | 101YP2500X | LPC-2028 (WY) |
| Professional Counselor Primary | 101YP2500X | 10336-125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1477908465
Angela Marie Tayson, MA, LPC's National Provider Identifier is 1477908465, issued on Apr 27, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Green Bay, WI. The record was last updated on Sep 6, 2024.