Angelique Jeanine Lam Slate, L.P.C.

NPI #1134502750 in Galax, Virginia

Provider Information

NPI Number: 1134502750
Entity Type: Individual
Name: Angelique Jeanine Lam Slate, L.P.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: L.P.C.
Enumeration Date: Jul 1, 2015
Last Updated: Aug 29, 2024

Practice Location

Address: 487 STONE BROOK DR
City: Galax
State: Virginia
ZIP Code: 24333-6227
Phone: (276) 233-3764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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