Individual
CASEY NEIDIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
590 ELLIS RD S BLDG 4, JACKSONVILLE, FL 32254-3555
(904) 800-2231
Mailing address
590 ELLIS RD S BLDG 4, JACKSONVILLE, FL 32254-3555
(904) 800-2231
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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