Provider Demographics
NPI:1952865834
Name:QUALANTONE, TONI (MA)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:
Last Name:QUALANTONE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1144 N OGDEN ST APT 102
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-2837
Mailing Address - Country:US
Mailing Address - Phone:715-781-9329
Mailing Address - Fax:
Practice Address - Street 1:720 S COLORADO BLVD., NORTH TOWER PENTHOUSE
Practice Address - Street 2:SUITE 1353N
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246
Practice Address - Country:US
Practice Address - Phone:720-370-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0015502101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor