Individual
MRS. ANGELA BONAGUIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1620 GAYLORD ST, DENVER, CO 80206-1207
(303) 336-1636
Mailing address
1620 GAYLORD ST, DENVER, CO 80206-1207
(303) 336-1636
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
1483
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30056527
—
CO
Enumeration date
03/25/2011
Last updated
03/07/2017
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