Provider Demographics
NPI:1548576390
Name:ANGELO, DANAH ELIZABETH
Entity Type:Individual
Prefix:
First Name:DANAH
Middle Name:ELIZABETH
Last Name:ANGELO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DANAH
Other - Middle Name:ELIZABETH
Other - Last Name:ANGELO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3325 WHITESIDE CT
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709-2595
Mailing Address - Country:US
Mailing Address - Phone:907-388-1431
Mailing Address - Fax:
Practice Address - Street 1:815 2ND AVE STE 122
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-4469
Practice Address - Country:US
Practice Address - Phone:907-374-0852
Practice Address - Fax:907-374-0854
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health