Provider Demographics
NPI:1710275748
Name:EUASHKA, ANGELA DELES (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:DELES
Last Name:EUASHKA
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2203 CHIPPENHAM CHASE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48306-3909
Mailing Address - Country:US
Mailing Address - Phone:248-933-0379
Mailing Address - Fax:
Practice Address - Street 1:2203 CHIPPENHAM CHASE
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48306-3909
Practice Address - Country:US
Practice Address - Phone:248-933-0379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-12
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009906101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional