Provider Demographics
NPI:1184397465
Name:BURDICK-MCPHEE, ANGELA MARIE (LPC, LCADC, CAADC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:BURDICK-MCPHEE
Suffix:
Gender:F
Credentials:LPC, LCADC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 MARTINS CORNER RD
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-1056
Mailing Address - Country:US
Mailing Address - Phone:585-610-8651
Mailing Address - Fax:
Practice Address - Street 1:532 MARTINS CORNER RD
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-1056
Practice Address - Country:US
Practice Address - Phone:585-610-8651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-01
Last Update Date:2021-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00178800101YA0400X
PA9488101YA0400X
PAPC008855101YP2500X
101YP2500X
NJ37PC00479600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)