BLAISE RASTELLO CAC II NPI 1366981458

NPI Information

NPI: 1366981458
Provider Name: BLAISE RASTELLO, CAC II
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
4475 BROADWAY ST LOT 51
BOULDER, CO
ZIP 80304
Phone: (720) 391-9951
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Blaise Rastello, CAC II is an addiction (substance use disorder) counselor in Boulder, CO with 7 years of experience. Blaise Rastello, CAC II NPI is 1366981458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4475 BROADWAY ST LOT 51
BOULDER, CO
ZIP 80304-350
Phone: (720) 391-9951

The NPI 1366981458 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/22/2017 and was last updated on 1/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	ACD.0001086	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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