Individual provider · Type 1 NPI
Angela Gladney, CRADC/MHP
Addiction (Substance Use Disorder) Counselor · Waterloo, IL
NPI number
1831748003
Active
Practice location
988 N Illinois Route 3
Waterloo, IL 62298-1059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Rehabilitation Practitioner | 225400000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1831748003
Angela Gladney, CRADC/MHP's National Provider Identifier is 1831748003, issued on Sep 10, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waterloo, IL. The record was last updated on Sep 10, 2019.