Angela M Sanford, LPCC | |
6140 S Broadway, Lorain, OH 44053-3821 | |
(440) 233-7232 | |
Not Available |
Full Name | Angela M Sanford |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 6140 S Broadway, Lorain, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952995706 | NPI | - | NPPES |
0434824 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | E.0500759-SUPV (Ohio) | Secondary |
101YP2500X | Counselor - Professional | E.0500759-SUPV (Ohio) | Primary |
Entity Name | Signature Health, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762 |
Mailing Address | Practice Location Address |
---|---|
Angela M Sanford, LPCC 6140 S Broadway, Lorain, OH 44053-3821 Ph: (440) 233-7232 | Angela M Sanford, LPCC 6140 S Broadway, Lorain, OH 44053-3821 Ph: (440) 233-7232 |
Sabrina Jones, LCDC111 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2115 West Park Drive, Lorain, OH 44053 Phone: 440-989-4987 Fax: 440-282-4779 | |
Mrs. Jennifer Lynn Shorter, MSW, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6150 Park Square Dr, Lorain, OH 44053 Phone: 440-984-3882 | |
Gregory Nicholas Julian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 330-301-0441 | |
Abigail Arroyo, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2173 N Ridge Rd E Ste E, Lorain, OH 44055 Phone: 440-260-8300 | |
Robert Paul Jakovlic, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-233-7232 Fax: 440-282-4779 | |
Kylie Nichol Dowdell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-233-7232 Fax: 440-282-4779 | |
Carol Crow, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2173 N Ridge Rd E Ste E, Lorain, OH 44055 Phone: 440-260-8300 |