Provider Demographics
NPI:1063960326
Name:BABCOCK, ANGELIKA CHRISTINE (LPC-S)
Entity type:Individual
Prefix:
First Name:ANGELIKA
Middle Name:CHRISTINE
Last Name:BABCOCK
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3781 E HOLLY PL
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85650-5301
Mailing Address - Country:US
Mailing Address - Phone:254-223-0503
Mailing Address - Fax:
Practice Address - Street 1:3781 E HOLLY PL
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85650-5301
Practice Address - Country:US
Practice Address - Phone:254-223-0503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-15
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16028101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health