Individual
CASEY PAUL BAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS, LPCA
Contact information
Practice address
6103 KAYTON ST, RALEIGH, NC 27616-4329
(919) 880-4078
Mailing address
6103 KAYTON ST, RALEIGH, NC 27616-4329
(919) 880-4078
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23911
NC
101YM0800X
Mental Health Counselor
Primary
13442
NC
Other
Enumeration date
12/20/2017
Last updated
03/08/2021
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