Provider Demographics
NPI:1891290805
Name:BEAR, ANGELA MICHELLE (MAMFT, LMHP)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:MICHELLE
Last Name:BEAR
Suffix:
Gender:F
Credentials:MAMFT, LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 E B ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-5457
Mailing Address - Country:US
Mailing Address - Phone:720-635-4806
Mailing Address - Fax:
Practice Address - Street 1:308 W 4TH ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-3828
Practice Address - Country:US
Practice Address - Phone:130-853-2077
Practice Address - Fax:308-532-0389
Is Sole Proprietor?:No
Enumeration Date:2018-03-30
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11431101YM0800X
NE5811101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health