Most Relevant Information
Provider Data
| NPI Number: | 1003698101 |
| Provider Name: | ANGELA SHELTON CHANDLER |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | ALC04388 |
Most Important Dates
| Enumeration Date: | 10/16/2023 |
| Last Updated: | 06/24/2024 |
Provider Practice Location
307 MAIN AVE
NORTHPORT
AL
354765057
Practice Location Phone/Fax
| Phone: | 2055860584 |
| Fax: |
Provider Mailing Location
2008 ANTIETAM AVE
TUSCALOOSA
AL
354061729
Provider Mailing Phone/Fax
| Phone: | 2055860584 |
| Fax: |