Individual provider · Type 1 NPI
Angel Tashawn Oridge
Mental Health Counselor · Forest Park, IL
NPI number
1669137519
Active
Practice location
7320 Dixon St
Forest Park, IL 60130-1176
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1669137519
Angel Tashawn Oridge's National Provider Identifier is 1669137519, issued on Nov 5, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Forest Park, IL. The record was last updated on Nov 5, 2021.