Provider Demographics
NPI:1487145231
Name:METZ, ANGELA B (LAPC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:B
Last Name:METZ
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1404 1ST AVE NW
Mailing Address - Street 2:
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554-2043
Mailing Address - Country:US
Mailing Address - Phone:701-425-5146
Mailing Address - Fax:
Practice Address - Street 1:101 SLATE DR STE 2
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-6171
Practice Address - Country:US
Practice Address - Phone:701-425-5146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-27
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND949-6-1-18A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health