Individual
CASEY MICHAEL DELILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADT-I
Contact information
Practice address
18663 VENTURA BLVD STE 300, TARZANA, CA 91356-4161
(818) 963-9319
(818) 657-7440
Mailing address
18663 VENTURA BLVD STE 300, TARZANA, CA 91356-4161
(818) 963-9319
(818) 657-7440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/27/2021
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