Provider Demographics
NPI:1972129328
Name:STRONG, ASKARI SR (CAC)
Entity type:Individual
Prefix:
First Name:ASKARI
Middle Name:
Last Name:STRONG
Suffix:SR
Gender:M
Credentials:CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16577 E 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-4512
Mailing Address - Country:US
Mailing Address - Phone:303-261-6106
Mailing Address - Fax:
Practice Address - Street 1:16577 E 7TH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-4512
Practice Address - Country:US
Practice Address - Phone:303-261-6106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACA.0007673101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)