Provider Demographics
NPI:1578370292
Name:PASQUALETTO, COURTNEY ELIZABETH (RADT)
Entity type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:ELIZABETH
Last Name:PASQUALETTO
Suffix:
Gender:F
Credentials:RADT
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Mailing Address - Street 1:19378 CASCADE DR
Mailing Address - Street 2:
Mailing Address - City:TRABUCO CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:92679-1136
Mailing Address - Country:US
Mailing Address - Phone:949-923-0394
Mailing Address - Fax:
Practice Address - Street 1:20302 FLANAGAN ROAD
Practice Address - Street 2:
Practice Address - City:TRABUCO CANYON
Practice Address - State:CA
Practice Address - Zip Code:92679
Practice Address - Country:US
Practice Address - Phone:818-582-8832
Practice Address - Fax:818-582-8836
Is Sole Proprietor?:No
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)