Individual provider · Type 1 NPI

Michael Louis Caruso

Addiction (Substance Use Disorder) Counselor · Lafayette, CO

NPI number 1972142701 Active

Practice location

1455 Dixon Ave
Lafayette, CO 80026-8879

Mailing address

2021 Pine St Apt A
Boulder, CO 80302-4757

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1972142701

Michael Louis Caruso's National Provider Identifier is 1972142701, issued on Dec 26, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lafayette, CO. The record was last updated on Dec 26, 2019.