Individual provider · Type 1 NPI

Angela Ruth Clancy, LCPC

Professional Counselor · Coeur D Alene, ID

NPI number 1649331109 Active

Practice location

212 S 11th St, STE5
Coeur D Alene, ID 83814-4000

Fax (208) 664-8828

Mailing address

586 S Clancy Dr
Post Falls, ID 83854-7171

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLCPC-330 (ID)

Professional Counselor: Definition to come...

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About NPI 1649331109

Angela Ruth Clancy, LCPC's National Provider Identifier is 1649331109, issued on Dec 12, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Coeur D Alene, ID. The record was last updated on Apr 25, 2008.