SearchIdaho101YP2500X

Angela Clancy, LCPC

NPI 1649331109 · on the registry since 2006 · sole proprietor

Practice

Address
212 S 11th St
Ste5
Coeur D Alene, ID 83814
Phone
(208) 664-0284
Fax
(208) 664-8828
Organisation at this address
Radish Nutrition Llc
Steps To Healing Pllc
Eagle Crest Life Services
Lifehouse Healthcare Pllc
Panhandle Behavioal Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-04-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho