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NPI Code Detail

MEDICARE: KASEY WILLIAMS CASAC-T

MEDICARE: KASEY WILLIAMS CASAC-T
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor41118NY

General Provider Information

NPI Number : 1194606020
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASEY WILLIAMS CASAC-T
Provider Business Mailing Address
First Line : 73 N MAIN ST FL 3
Second Line :
City : GLOVERSVILLE
State : NY
Zip : 12078-3044
Country : US
Telephone Number : 518-725-1512
Fax Number :
Provider Business Practice Location Address
First Line : 73 N MAIN ST FL 3
Second Line :
City : GLOVERSVILLE
State : NY
Zip : 12078-3044
Country : US
Telephone Number : 518-725-1512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2025
Last Update Date : 10/06/2025

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