Provider Demographics
NPI:1417229634
Name:CROPPS, ANGELA (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:CROPPS
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4013 LADY SLIPPER LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-6419
Mailing Address - Country:US
Mailing Address - Phone:919-495-8312
Mailing Address - Fax:
Practice Address - Street 1:992 DURHAM RD
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-6589
Practice Address - Country:US
Practice Address - Phone:919-495-8312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-03
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8572101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health