Provider Demographics
NPI:1699259028
Name:FRENCH, ANGELA M (LMHC)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:M
Last Name:FRENCH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 DEPOT ST
Mailing Address - Street 2:
Mailing Address - City:MOOERS
Mailing Address - State:NY
Mailing Address - Zip Code:12958-4301
Mailing Address - Country:US
Mailing Address - Phone:518-569-0471
Mailing Address - Fax:
Practice Address - Street 1:43 DURKEE ST STE 600B
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-2958
Practice Address - Country:US
Practice Address - Phone:518-569-0471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-21
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007869101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health