Individual
CASEY LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
2545 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6423
(541) 205-3459
(541) 883-3471
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 516-4087
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17R28
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
08/02/2017
Last updated
01/04/2018
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