Provider Demographics
NPI:1922365873
Name:BIGFORD, ANGELA INGLIS (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:INGLIS
Last Name:BIGFORD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:ANGELA
Other - Middle Name:ELLEN
Other - Last Name:INGLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1911 11TH ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-5129
Mailing Address - Country:US
Mailing Address - Phone:303-589-3376
Mailing Address - Fax:
Practice Address - Street 1:1911 11TH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-5129
Practice Address - Country:US
Practice Address - Phone:303-589-3376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-17
Last Update Date:2012-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6457101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional