Provider Demographics
NPI:1407519598
Name:MORGADO, CRYSTAL (CAS)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:MORGADO
Suffix:
Gender:F
Credentials:CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9632 BRAMWOOD ST
Mailing Address - Street 2:
Mailing Address - City:FIRESTONE
Mailing Address - State:CO
Mailing Address - Zip Code:80504-5914
Mailing Address - Country:US
Mailing Address - Phone:720-810-1403
Mailing Address - Fax:
Practice Address - Street 1:9450 HURON ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-7931
Practice Address - Country:US
Practice Address - Phone:303-429-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACC.0007217101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)