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NPI Code Detail

MEDICARE: ANGELA A CALLANAN LPC

MEDICARE: ANGELA A CALLANAN LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH23343FL
2101YP2500XProfessional CounselorLPC.0021859CO

General Provider Information

NPI Number : 1417475567
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA A CALLANAN LPC
Provider Business Mailing Address
First Line : 4856 INNOVATION DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-5539
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 700 CENTRE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-1842
Country : US
Telephone Number : 970-494-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2017
Last Update Date : 05/08/2026

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Directions to “ ANGELA A CALLANAN LPC” Practice Location

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