Wellformed AI

NPI 1164102513 · live from the CMS NPI Registry

Leslie Anne Angel, PhD, PCLC

Counselor, Mental Health in Missoula, MT. National Provider Identifier 1164102513, active.

NPI record

NPI1164102513 Type 1 · individual
StatusActive
Primary specialtyCounselor, Mental Health 101YM0800X
Practice location5767 W Harrier Dr Ste 201, Missoula, MT 59808
Practice phone406-370-8495
EnumeratedJuly 20, 2023
Last updatedMarch 15, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health primary101YM0800XBBH-PCLC-LIC-63021 (MT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.