Provider Demographics
NPI:1023406865
Name:SALERNO, CRAIG (MA, LPC, LAC)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:SALERNO
Suffix:
Gender:M
Credentials:MA, LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6666 GUNPARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-3396
Mailing Address - Country:US
Mailing Address - Phone:973-818-7793
Mailing Address - Fax:
Practice Address - Street 1:6666 GUNPARK DR STE 200
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-3396
Practice Address - Country:US
Practice Address - Phone:973-818-7793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-01
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CO12904101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health