Individual
CASEY NICOLE O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1353 N COURTENAY PKWY STE L, MERRITT ISLAND, FL 32953-4463
(321) 978-5122
(321) 978-5127
Mailing address
5150 GARFIELD ST, COCOA, FL 32927-3134
(321) 745-7920
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ISW14944
FL
1041C0700X
Clinical Social Worker
Primary
ISW14944
FL
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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