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General NPI Number Information
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NPI Number | 1457070898
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Entity Type | Organization
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Legal Business Name | CASEY PSYCHOTHERAPY SERVICES, INC.
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Dates
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Enumeration Date | 08/26/2022
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | 135 S STATE COLLEGE BLVD STE 200
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City | BREA
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State | CA
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Zip | 92821-5805
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Country | US
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Telephone | 888-501-6333
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Fax | 310-933-1414
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Provider Business Mailing Address
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Address Line | 135 S STATE COLLEGE BLVD STE 200
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City | BREA
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State | CA
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Zip | 92821-5805
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Country | US
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Telephone | 888-501-6333
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Fax | 310-933-1414
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Authorized Official
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Title or Position | FOUNDER
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Name | JOHN T CASEY
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Credential | LCSW
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Telephone | 562-308-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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