Provider Demographics
NPI:1407176332
Name:JANUARY, ANGELA D (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:D
Last Name:JANUARY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2696 S COLORADO BLVD STE 380
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-5944
Mailing Address - Country:US
Mailing Address - Phone:303-565-6103
Mailing Address - Fax:
Practice Address - Street 1:2696 S COLORADO BLVD STE 380
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5944
Practice Address - Country:US
Practice Address - Phone:303-565-6103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6814101YP2500X
COLPC.0013082101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional