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Contact Information

ANGELA M BROSS, LPC
355 CHURCH STREET
AVINGER, TX75630
 Phone: 318-505-2281
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for ANGELA M BROSS · (Female)

NPI Number 1275060469
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 05/18/2017
Last updated 05/18/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 74360
  • TX Other 74630 STATE LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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