Provider Demographics
NPI:1821787888
Name:STRATTON, CONNIE CALLANDER (CAS)
Entity Type:Individual
Prefix:
First Name:CONNIE
Middle Name:CALLANDER
Last Name:STRATTON
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 1:9450 HURON ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80260-7931
Mailing Address - Country:US
Mailing Address - Phone:303-429-3400
Mailing Address - Fax:303-429-3332
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:303-429-3332
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0002409101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)