Individual
ANGELA PRINCESS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
791 CHAMBERS RD, AURORA, CO 80011-7112
(303) 617-2300
Mailing address
1290 CHAMBERS RD, AURORA, CO 80011-7117
(303) 617-2300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CO
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
943461112
—
CO
Enumeration date
01/06/2022
Last updated
01/13/2022
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