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Individual

ALICIA ANKENMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC, CADC1

Contact information

Practice address
2730 29TH ST, BOULDER, CO 80301-1202
(541) 444-0983
Mailing address
2730 29TH ST, BOULDER, CO 80301-1202
(541) 444-0983

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
C2975
OR
101YM0800X
Mental Health Counselor
LPC.0021596
CO
101YP2500X
Professional Counselor
Primary
C2975
OR
101YP2500X
Professional Counselor
LPC.0021596
CO

Other

Enumeration date
05/04/2009
Last updated
09/05/2025
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