Individual
ANGELA BARTLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8203 W 20TH ST, GREELEY, CO 80634-4696
(970) 673-8103
Mailing address
8203 W 20TH ST, GREELEY, CO 80634-4696
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000670
CO
106H00000X
Marriage & Family Therapist
Primary
MFT.0001424
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54155070
—
CO
Enumeration date
10/17/2014
Last updated
08/18/2021
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