Provider Demographics
NPI:1700939295
Name:JUURLINK, ANGELA (LCMHC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:JUURLINK
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:PIVOTAL
Other - Middle Name:
Other - Last Name:COUNSELING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:36 COUNTRY CLUB RD UNIT 926
Mailing Address - Street 2:
Mailing Address - City:GILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03249-6978
Mailing Address - Country:US
Mailing Address - Phone:603-470-7700
Mailing Address - Fax:
Practice Address - Street 1:36 COUNTRY CLUB RD UNIT 926
Practice Address - Street 2:
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249-6978
Practice Address - Country:US
Practice Address - Phone:603-470-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor