person
Angelique Jeanine Lam Slate, LPC
Professional Counselor in Galax, Virginia
NPI 1134502750

Angelique Jeanine Lam Slate is a Professional Counselor based in Galax, VA and is specialized in Professional. Angelique Jeanine Lam Slate practices in Galax, VA and has the professional credentials of LPC. The NPI Number for Angelique Jeanine Lam Slate is 1134502750 and holds a License No. 0701005404 (Virginia).

The current practice location address for Angelique Jeanine Lam Slate is 487 Stone Brook Dr, Galax, VA and can be reached out via phone at 276-233-3764 and via fax at 276-236-8880.

Location: 487 Stone Brook Dr, Galax, VA, 24333-6227
person
Provider Profile Details
NPI Number
1134502750
Provider Name
Angelique Jeanine Lam Slate
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
487 Stone Brook Dr, Galax, VA, 24333-6227
Phone Number
276-233-3764
Fax Number
276-236-8880
Provider Enumeration Date
07/01/2015
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
601027524 05 VA
institution
Provider Business Practice Location Address Details
Address
487 Stone Brook Dr
City
State
Zip
24333-6227
Phone Number
276-233-3764
Fax Number
276-236-8880
person
Provider Business Mailing Address Details
Address
487 Stone Brook Dr
City
State
Zip
24333-6227
Phone Number
276-233-3764
Fax Number
276-236-8880
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701005404 (Virginia)
Definition
Definition to come...
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