Provider Demographics
NPI:1427706894
Name:LINCOLN, ANGELA L (MS, LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:L
Last Name:LINCOLN
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 S SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-4156
Mailing Address - Country:US
Mailing Address - Phone:307-215-8740
Mailing Address - Fax:
Practice Address - Street 1:1520 S SPRUCE ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-4156
Practice Address - Country:US
Practice Address - Phone:307-215-8740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-15
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC2255101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional