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Individual

MR. CASEY MORGAN SUBERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC, LPCC

Contact information

Practice address
777 S FIGUEROA ST STE 810, LOS ANGELES, CA 90017-5813
(973) 704-0613
Mailing address
1036 MENLO AVE APT 403, LOS ANGELES, CA 90006-2855
(973) 704-0613

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
008946-1
NY
101YP2500X
Professional Counselor
Primary
11627
CA

Other

Enumeration date
08/27/2019
Last updated
10/09/2023
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