Provider Demographics
NPI:1457565145
Name:KREEGER, ANGELANA MARIE (MA, PLPC)
Entity type:Individual
Prefix:MISS
First Name:ANGELANA
Middle Name:MARIE
Last Name:KREEGER
Suffix:
Gender:F
Credentials:MA, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 E. LA HARPE ST.
Mailing Address - Street 2:
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501
Mailing Address - Country:US
Mailing Address - Phone:660-665-1962
Mailing Address - Fax:660-665-3989
Practice Address - Street 1:7 WESTOWNE
Practice Address - Street 2:SUITE 403
Practice Address - City:ST. CHARLES
Practice Address - State:MO
Practice Address - Zip Code:64068
Practice Address - Country:US
Practice Address - Phone:816-407-1754
Practice Address - Fax:816-407-1739
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005010425101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional