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Individual
MR. JON MICHAEL CASIDA
Active
Individual
MR. JON MICHAEL CASIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A8422303
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A8422303
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77-0051442
ALCOHOL AND DRUG REHAB
CA
01
—
95-3111169
MEDICAL
CA
Enumeration date
03/01/2007
Last updated
02/25/2021
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