Individual
DR. JOEL CASORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
781 ATHENS HWY, LOGANVILLE, GA 30052-2215
(770) 500-8134
Mailing address
781 ATHENS HWY, LOGANVILLE, GA 30052-2215
(770) 500-8134
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7705008134
OPERATIONAL RESOURCES INTERNAL
GA
Enumeration date
12/13/2013
Last updated
12/13/2013
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