Individual
AMI CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
232 NW 19TH AVE, CAMAS, WA 98607-1007
(360) 600-6421
Mailing address
232 NW 19TH AVE, CAMAS, WA 98607-1007
(360) 600-6421
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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