Provider Demographics
NPI:1821317710
Name:SUAREZ-SALDANA, RAUL (CAC III)
Entity Type:Individual
Prefix:MR
First Name:RAUL
Middle Name:
Last Name:SUAREZ-SALDANA
Suffix:
Gender:M
Credentials:CAC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9150B N WASHINGTON ST # B
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4305
Mailing Address - Country:US
Mailing Address - Phone:303-996-9966
Mailing Address - Fax:303-996-9954
Practice Address - Street 1:9150B N WASHINGTON ST # B
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4305
Practice Address - Country:US
Practice Address - Phone:303-996-9966
Practice Address - Fax:303-996-9954
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)