Individual
ANGELA STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11001 W 120TH AVE STE 400, BROOMFIELD, CO 80021-3493
(303) 834-7874
Mailing address
11001 W 120TH AVE STE 400, BROOMFIELD, CO 80021-3493
(303) 834-7874
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0024103
CO
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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