Provider Demographics
NPI:1629710892
Name:MCCREE, ANGELA MONIQUE (M ED, LMFT ASSOCIATE)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:MONIQUE
Last Name:MCCREE
Suffix:
Gender:F
Credentials:M ED, LMFT ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 N GRANT AVE STE 909
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-4547
Mailing Address - Country:US
Mailing Address - Phone:432-603-2073
Mailing Address - Fax:
Practice Address - Street 1:620 N GRANT AVE STE 909
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4547
Practice Address - Country:US
Practice Address - Phone:254-677-8081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-08
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204493106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist