Individual
CASEY HASKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 TOMICHI HL, EXCALANTE CENTER, GUNNISON, CO 81231-0898
(970) 943-2484
Mailing address
PO BOX 898, GUNNISON, CO 81230-0898
(970) 943-2484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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