Provider Demographics
NPI:1144365842
Name:CASNER, CRAIG TIMPONE (BS, CAC III)
Entity type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:TIMPONE
Last Name:CASNER
Suffix:
Gender:M
Credentials:BS, CAC III
Other - Prefix:MR
Other - First Name:CRAIG
Other - Middle Name:CASNER
Other - Last Name:PURDIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2109 E 16TH AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1169
Mailing Address - Country:US
Mailing Address - Phone:303-504-1800
Mailing Address - Fax:303-504-1815
Practice Address - Street 1:1634 DOWNING ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1529
Practice Address - Country:US
Practice Address - Phone:303-504-1800
Practice Address - Fax:303-504-1815
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health