Individual
MR. JOHNNY G CASADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
300 EAST 1ST STREET, PORTALES, NM 88130
(505) 359-1221
(505) 359-1075
Mailing address
382 S ROOSEVELT ROAD R 1/2, PORTALES, NM 88130-9015
(505) 760-4103
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0080341
NM
Other
Enumeration date
10/25/2006
Last updated
02/15/2011
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