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Individual

JOSEPH CASEBOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7160 N MAYO TRL, PIKEVILLE, KY 41501-3151
(066) 579-9886
(066) 530-6916
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/27/2014
Last updated
11/18/2019
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