# CASIEUS KYLE CARVER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417566167
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |

## Other

- **Enumeration date:** 07/29/2020
- **Last updated:** 06/03/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0005489001 | — | WV |