Individual
ANGELA S CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC, LPC
Contact information
Practice address
20971 E SMOKY HILL RD STE 204, AURORA, CO 80015-5187
(303) 501-7503
Mailing address
19734 E UNION DR, CENTENNIAL, CO 80015-3486
(303) 501-7503
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
01810
IA
101YP2500X
Professional Counselor
Primary
0012011
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29021
WELLMARK BLUE SHIELD
IA
Enumeration date
07/07/2006
Last updated
11/10/2025
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