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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