Individual
ANGELICA FEDAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC, ADDC
Contact information
Practice address
649 ROBERT ST, LONGMONT, CO 80503-9441
(720) 526-3284
Mailing address
649 ROBERT ST, LONGMONT, CO 80503-9441
(720) 526-3284
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0019010
CO
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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