Individual
CASEY J SLAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 S MAIN ST, MONTICELLO, KY 42633-1428
(606) 348-9318
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/30/2019
Last updated
04/29/2024
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