Provider Demographics
NPI:1558835348
Name:OUEDRAOGO, APRIL (MA EDS)
Entity type:Individual
Prefix:MS
First Name:APRIL
Middle Name:
Last Name:OUEDRAOGO
Suffix:
Gender:F
Credentials:MA EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7975 S KITTREDGE ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-4642
Mailing Address - Country:US
Mailing Address - Phone:720-364-5120
Mailing Address - Fax:
Practice Address - Street 1:9233 PARK MEADOWS DR STE 131
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5426
Practice Address - Country:US
Practice Address - Phone:720-364-5120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-15
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO196691103TS0200X
CO0108913101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool