Dawn Renee Angelica

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lafayette, CO

NPI 1437327558 · NPPES record last updated Jun 5, 2023

Key facts

NPI
1437327558
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
1455 Dixon Ave
Lafayette, CO 80026-8879
Phone
(303) 443-8500
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

1455 Dixon Ave
Lafayette, CO 80026-8879

Mailing address

1455 Dixon Ave
Lafayette, CO 80026-8879
Phone (303) 443-8500

Other providers in Lafayette, CO

All providers in Lafayette, CO · Addiction (Substance Use Disorder) Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.