Individual
ANGELO ANTHONY CILIBERTI II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CGP
Contact information
Practice address
331 MAXWELL AVE, BOULDER, CO 80304-3972
(303) 949-5577
(303) 949-5577
Mailing address
1503 CENTAUR CIR, LAFAYETTE, CO 80026-2847
(303) 949-5577
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0005770
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-4601316
COLORADO BUSINESS BUREAU
CO
Enumeration date
05/22/2017
Last updated
05/22/2017
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