Provider Demographics
NPI:1770810723
Name:AGGEN, ALISON GRACE (LPC)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:GRACE
Last Name:AGGEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2121 S BLACKHAWK ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1487
Mailing Address - Country:US
Mailing Address - Phone:720-495-0550
Mailing Address - Fax:303-957-2222
Practice Address - Street 1:2121 S BLACKHAWK ST
Practice Address - Street 2:SUITE 210
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1487
Practice Address - Country:US
Practice Address - Phone:720-495-0550
Practice Address - Fax:303-957-2222
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-12
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5427101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional