Kyle William Case, SUDRC
Counselor, Addiction (Substance Use Disorder) in Placerville, CA. Individual provider (NPI-1).
NPI number1831716331
StatusActive
Last updated in NPPESJun 30, 2020
Details
- NPI
- 1831716331
- Entity type
- Individual (NPI-1)
- Name
- Kyle William Case
- Credential
- SUDRC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2020
- Certification date
- Jun 30, 2020
- Last updated
- Jun 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 10871 | CA | Yes |
Practice location
2844 Coloma StPlacerville, CA 95667-4406
Phone 530-344-4535
Mailing address
2844 Coloma StPlacerville, CA 95667-4406
Phone 530-344-4535
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All 87 Addiction (Substance Use Disorder) Counselor providers in Placerville · All 1,220 providers in Placerville
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