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General NPI Number Information
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NPI Number | 1578861415
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Entity Type | Individual
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Provider Name | MICHELLE NICOLE CHRASTIL MA NCC
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Gender | Female
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Dates
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Enumeration Date | 03/01/2011
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 20 WOOD SORREL
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City | LITTLETON
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State | CO
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Zip | 80127-4324
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Country | US
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Telephone | 303-669-0893
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Fax |
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Provider Business Mailing Address
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Address Line | 2986 S WHITING WAY
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City | DENVER
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State | CO
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Zip | 80231-4229
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Country | US
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Telephone | 303-669-0893
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | LPC0011936
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | CO
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