Provider Demographics
NPI:1962689059
Name:NADEAU, ANGELA L (LCPC)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:L
Last Name:NADEAU
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CHRISTENSEN LN STE 2
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-7759
Mailing Address - Country:US
Mailing Address - Phone:207-370-4735
Mailing Address - Fax:207-967-4929
Practice Address - Street 1:2 CHRISTENSEN LN
Practice Address - Street 2:SUITE #2
Practice Address - City:KENNEBUNK
Practice Address - State:ME
Practice Address - Zip Code:04043-7759
Practice Address - Country:US
Practice Address - Phone:207-370-4735
Practice Address - Fax:207-967-4929
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-30
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC3219101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional