Individual
KASCEY IFILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACII
Contact information
Practice address
104 N COMMERCE ST, HINESVILLE, GA 31313-2720
(912) 877-3600
Mailing address
104 NORTH COMMERCE ST, HINESVILLE, GA 31313
(912) 877-3600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
508502
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
GA
101YP2500X
Professional Counselor
LPC01092
GA
Other
Enumeration date
01/11/2016
Last updated
06/01/2021
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