Individual
CASEY B VANDERBILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 ORCHARD ST, CHARLESTON, WV 25302-2517
(304) 419-7759
Mailing address
703 ORCHARD ST, CHARLESTON, WV 25302-2517
(304) 419-7759
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WV
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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