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Individual

LEIGH ANN CASERTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1103 GEORGE KOSTAS DR STE 225, LOGAN, WV 25601-3759
(304) 792-1111
Mailing address
1609 W 3RD AVE, WILLIAMSON, WV 25661-3006
(304) 235-0026
(304) 235-0028

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
WV
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
12/02/2020
Last updated
03/19/2026
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