Provider Demographics
NPI:1598448623
Name:ROTHKAMP, ANGELA MAE (LPC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:MAE
Last Name:ROTHKAMP
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ANGIE
Other - Middle Name:
Other - Last Name:ROTHKAMP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:14 WHITEHAVEN CIR
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-6679
Mailing Address - Country:US
Mailing Address - Phone:720-725-0139
Mailing Address - Fax:
Practice Address - Street 1:9220 TEDDY LN
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6740
Practice Address - Country:US
Practice Address - Phone:720-443-3281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2188101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health