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Casey Neidig

Counselor, Addiction (Substance Use Disorder) in Jacksonville, FL. Individual provider (NPI-1).

NPI number1003301441
StatusActive
Last updated in NPPESJun 28, 2018

Details

NPI
1003301441
Entity type
Individual (NPI-1)
Name
Casey Neidig
Sex
Male
Sole proprietor
No
Enumeration date
Jun 28, 2018
Last updated
Jun 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

590 Ellis Rd S Bldg 4
Jacksonville, FL 32254-3555

Phone 904-800-2231

Mailing address

590 Ellis Rd S Bldg 4
Jacksonville, FL 32254-3555

Phone 904-800-2231

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