Organization
MICHELLE CHRASTIL COUNSELING LLC
Active
Organization
MICHELLE CHRASTIL COUNSELING LLC
Active
Other names
Blue Moon Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE NICOLE CHRASTIL LPC (SUPERVISOR CEO)
(303) 669-0893
Entity
Organization
Contact information
Practice address
5650 GREENWOOD PLAZA BLVD, SUITE 141, GREENWOOD VILLAGE, CO 80111-2307
(303) 669-0893
Mailing address
5650 GREENWOOD PLAZA BLVD, SUITE 141, GREENWOOD VILLAGE, CO 80111-2307
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC0011936
CO
101YM0800X
Mental Health Counselor
LPC0011936
CO
225A00000X
Music Therapist
Primary
11191
CO
251S00000X
Community/Behavioral Health Agency
LPC0011936
CO
Other
Enumeration date
09/14/2015
Last updated
10/05/2016
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