Provider Demographics
NPI:1750322632
Name:JUNIPER, ANGELA CAROL (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:CAROL
Last Name:JUNIPER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:ANGELA
Other - Middle Name:CAROL
Other - Last Name:HATFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2400 JOHNSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-4738
Mailing Address - Country:US
Mailing Address - Phone:304-522-7421
Mailing Address - Fax:304-522-6382
Practice Address - Street 1:2400 JOHNSTOWN RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-4738
Practice Address - Country:US
Practice Address - Phone:304-522-7421
Practice Address - Fax:304-522-6382
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1242101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional