Provider Demographics
NPI:1487226163
Name:ALVARADO, ANGIE LORENA (MA, LPC)
Entity Type:Individual
Prefix:
First Name:ANGIE
Middle Name:LORENA
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 INDIANA ST STE 100
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-5012
Mailing Address - Country:US
Mailing Address - Phone:303-736-9697
Mailing Address - Fax:720-306-5464
Practice Address - Street 1:430 INDIANA ST STE 100
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-5012
Practice Address - Country:US
Practice Address - Phone:303-736-9697
Practice Address - Fax:720-306-5464
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2023-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0017619101YM0800X
COLPC.0018148101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health