Healthcare Provider Details

I. General information

NPI: 1730401985
Provider Name (Legal Business Name): MRS. CAROLINE CASAREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2010
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4452 E. CESAR CHAVEZ BLVD
FRESNO CA
93702
US

IV. Provider business mailing address

5099 N STATE ST
FRESNO CA
93722-5045
US

V. Phone/Fax

Practice location:
  • Phone: 559-600-9180
  • Fax:
Mailing address:
  • Phone: 559-277-1252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number7419
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: