Provider Demographics
NPI:1952876112
Name:APODACA, CELESTE (LAC, LPCC)
Entity type:Individual
Prefix:
First Name:CELESTE
Middle Name:
Last Name:APODACA
Suffix:
Gender:F
Credentials:LAC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8355 E 32ND AVE APT 315
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-4433
Mailing Address - Country:US
Mailing Address - Phone:303-261-6377
Mailing Address - Fax:
Practice Address - Street 1:8355 E 32ND AVE APT 315
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-4433
Practice Address - Country:US
Practice Address - Phone:303-261-6377
Practice Address - Fax:303-261-6377
Is Sole Proprietor?:No
Enumeration Date:2018-10-03
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0002739101YA0400X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)