Johnny G Casady LPCC

NPI 1306921903 - Counselor - 101YM0800X

NPI Details
NPI 1306921903
Gender Male
Enumeration Date 10/25/2006
Last Updated 02/15/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
300 EAST 1ST STREET
PORTALES NM, 88130, US
Phone (505) 359-1221
Fax (505) 359-1075
Business Location
382 S ROOSEVELT ROAD R 1/2
PORTALES NM, 88130-9015, US
Phone (505) 760-4103
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State New Mexico
License Number 0080341
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According to our database, Mr. Johnny G Casady LPCC NPI is 1306921903, taxonomy code is 101YM0800X and license number is 0080341, license state is located at New Mexico. Johnny G Casady LPCC physically located at 300 East 1st Street, Portales NM, 88130. NPI Number Johnny G Casady LPCC has the Individual type.

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1306921903 NPI number is provided on an as is basis without warranty of any kind. 1306921903 is maintained by the National Plan & Provider Enumeration System. The contents of Johnny G Casady LPCC are for informational purposes only.