Casey Nicholas Audirsch, BA Psychology
Case Manager/Care Coordinator in Ruston, LA. Individual provider (NPI-1).
NPI number1760028096
StatusActive
Last updated in NPPESNov 21, 2019
Details
- NPI
- 1760028096
- Entity type
- Individual (NPI-1)
- Name
- Casey Nicholas Audirsch
- Credential
- BA Psychology
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2019
- Last updated
- Nov 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
829 E Georgia AveRuston, LA 71270-3912
Phone 318-242-0730
Mailing address
1408 Tech Farm Rd Apt D2Ruston, LA 71270-5464
Phone 318-918-8213
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