Angela Gladney, CRADC/MHP

NPI #1831748003 in Waterloo, Illinois

Provider Information

NPI Number: 1831748003
Entity Type: Individual
Name: Angela Gladney, CRADC/MHP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CRADC/MHP
Enumeration Date: Sep 10, 2019
Last Updated: Sep 10, 2019

Practice Location

Address: 988 N ILLINOIS ROUTE 3
City: Waterloo
State: Illinois
ZIP Code: 62298-1059
Phone: (618) 939-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Rehabilitation Practitioner	225400000X

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Organizations

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