Angelica Fedak, MA, LPCC, ADDC | |
649 Robert St, Longmont, CO 80503-9441 | |
(720) 526-3284 | |
Not Available |
Full Name | Angelica Fedak |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 649 Robert St, Longmont, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427745504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPCC.0019010 (Colorado) | Primary |
Entity Name | Skb Therapy |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730711474 PECOS PAC ID: 6507295912 Enrollment ID: O20200407000553 |
Mailing Address | Practice Location Address |
---|---|
Angelica Fedak, MA, LPCC, ADDC 649 Robert St, Longmont, CO 80503-9441 Ph: (720) 526-3284 | Angelica Fedak, MA, LPCC, ADDC 649 Robert St, Longmont, CO 80503-9441 Ph: (720) 526-3284 |
Jenni Mcdade, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 S Airport Rd, Longmont, CO 80503 Phone: 303-579-8642 | |
Amanda Deckelbaum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 100 Yearparty Ct, Longmont, CO 80504 Phone: 720-449-6676 | |
Olivia Howk-pomykal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Ken Pratt Blvd Ste 140, Longmont, CO 80501 Phone: 970-281-5753 | |
Carl Baccellieri, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1245 Gay St, Longmont, CO 80501 Phone: 720-352-1178 | |
John Vandegrift, MA, CAC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 709 3rd Ave, Longmont, CO 80501 Phone: 970-281-7872 | |
Kirsten Megan Norr, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1605 County Line Rd Apt H306, Longmont, CO 80504 Phone: 917-612-9242 | |
Mary Ann Ursich, MA, LAC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 21st Ave Ste 113, Longmont, CO 80501 Phone: 303-834-9369 Fax: 303-834-9396 |