Individual
MR. MICHAEL LOUIS CARUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(303) 443-8500
Mailing address
2021 PINE ST APT A, BOULDER, CO 80302-4757
(610) 659-1374
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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