Provider Demographics
NPI:1205358850
Name:QUARLES, ROB (BA, CAC II)
Entity Type:Individual
Prefix:
First Name:ROB
Middle Name:
Last Name:QUARLES
Suffix:
Gender:M
Credentials:BA, CAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 S COLORADO BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-5937
Mailing Address - Country:US
Mailing Address - Phone:720-214-0808
Mailing Address - Fax:720-214-0819
Practice Address - Street 1:2425 S COLORADO BLVD STE 200
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5937
Practice Address - Country:US
Practice Address - Phone:720-214-0808
Practice Address - Fax:720-214-0819
Is Sole Proprietor?:No
Enumeration Date:2017-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0007776101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)