Provider Demographics
NPI:1083307326
Name:RIEMER, ANGELA S (LPCC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:S
Last Name:RIEMER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 91
Mailing Address - Street 2:
Mailing Address - City:KEENESBURG
Mailing Address - State:CO
Mailing Address - Zip Code:80643-0091
Mailing Address - Country:US
Mailing Address - Phone:720-580-1484
Mailing Address - Fax:
Practice Address - Street 1:204 N STEWART ST
Practice Address - Street 2:
Practice Address - City:KEENESBURG
Practice Address - State:CO
Practice Address - Zip Code:80643-9048
Practice Address - Country:US
Practice Address - Phone:720-580-1484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0020062101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional