Wellformed AI

NPI 1821642950 · live from the CMS NPI Registry

Angelo Isip Abella, LPC-Supervisor

Counselor, Professional in Garland, TX. National Provider Identifier 1821642950, active.

NPI record

NPI1821642950 Type 1 · individual
StatusActive
Primary specialtyCounselor, Professional 101YP2500X
Practice location3301 Excalibur Cir, Garland, TX 75044
Practice phone214-708-3330
EnumeratedJuly 26, 2019
Last updatedJuly 26, 2019
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Professional primary101YP2500X16695 (TX)

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