Individual
CASEY KOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
753 SE MAIN ST # 210, ROSEBURG, OR 97470-3984
(541) 671-2040
Mailing address
727 SE CASS AVE STE 220, ROSEBURG, OR 97470-4953
(541) 671-2040
(775) 623-6584
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3719
OR
1041C0700X
Clinical Social Worker
4957-C
NV
Other
Enumeration date
12/11/2006
Last updated
10/26/2022
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