BLAISE RASTELLO, CAC II

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1366981458

Practice Address

4475 BROADWAY ST LOT 51
Boulder, CO 80304

Phone: (720) 391-9951

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes ACD.0001086 (CO)

Frequently Asked Questions

NPI 1366981458 is the National Provider Identifier for BLAISE RASTELLO, CAC II, a Counselor - Addiction (Substance Use Disorder) provider located in Boulder, CO. This NPI was enumerated on February 22, 2017.
BLAISE RASTELLO, CAC II practices at 4475 BROADWAY ST LOT 51, Boulder, CO 80304.

Quick Facts

NPI
1366981458
Type
Individual
Enumerated
Feb 22, 2017
Last Updated
Jan 23, 2023

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