Individual
ANGELA MARIA BAGUINHO MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(303) 443-8500
Mailing address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(303) 443-8500
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
—
101YP2500X
Professional Counselor
Primary
LPC.0020706
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/29/2019
Last updated
02/05/2025
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