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Individual

CASIEUS KYLE CARVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
130 PRINCETON AVE, BLUEFIELD, WV 24701-2959
(681) 339-0826
Mailing address
130 PRINCETON AVE, BLUEFIELD, WV 24701-2959
(681) 339-0826

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005489001
WV
Enumeration date
07/29/2020
Last updated
06/03/2025
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