Individual provider · Type 1 NPI

Angelina Fackelman

Counselor · Colorado Springs, CO

NPI number 1477478246 Active

Practice location

4512 Anvil Dr
Colorado Springs, CO 80925-1034

Call (201) 696-2420 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XADDC.0000783 (CO)
Counselor Primary 101Y00000XLPCC.0025041 (CO)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1477478246

Angelina Fackelman's National Provider Identifier is 1477478246, issued on Aug 11, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Aug 11, 2026.