MEDICARE: CRISTINA D COLLASO CAS

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	ACA.0007581	CO

General Provider Information

NPI Number	:	1750928255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTINA D COLLASO CAS

Provider Business Mailing Address
First Line	:	15670 E MEXICO AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80017-5001
Country	:	US
Telephone Number	:	720-907-5242
Fax Number	:

Provider Business Practice Location Address
First Line	:	15670 E MEXICO AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80017-5001
Country	:	US
Telephone Number	:	720-907-5242
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2019
Last Update Date	:	01/20/2026

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