Provider Demographics
NPI:1265430599
Name:CORRIGAN, ANGELA (EDD, LPC, LMFT)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:CORRIGAN
Suffix:
Gender:F
Credentials:EDD, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3420 W HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-3528
Mailing Address - Country:US
Mailing Address - Phone:903-737-6959
Mailing Address - Fax:903-737-0431
Practice Address - Street 1:3420 W HOUSTON ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-3528
Practice Address - Country:US
Practice Address - Phone:903-737-6959
Practice Address - Fax:903-737-0431
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12029101YP2500X
TX003295-036383106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2994LCOtherBCBS
TX026642101Medicaid