Individual
CASEY FORSYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC, SUDP
Contact information
Practice address
235 S 3RD ST, SHELTON, WA 98584-2255
(360) 426-0890
Mailing address
808 SHERMAN ST NW, OLYMPIA, WA 98502-4830
(607) 345-0503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2306
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP61016510
WA
Other
Enumeration date
12/29/2016
Last updated
06/07/2023
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