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NPI Code Detail

MEDICARE: MR. CASEY MORGAN SUBERO LMHC, LPCC

MEDICARE: MR. CASEY MORGAN SUBERO LMHC, LPCC
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
1101YM0800XMental Health Counselor008946-1NY
2101YP2500XProfessional Counselor11627CA

General Provider Information

NPI Number : 1730737453
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CASEY MORGAN SUBERO LMHC, LPCC
Provider Business Mailing Address
First Line : 1036 MENLO AVE APT 403
Second Line :
City : LOS ANGELES
State : CA
Zip : 90006-2855
Country : US
Telephone Number : 973-704-0613
Fax Number :
Provider Business Practice Location Address
First Line : 777 S FIGUEROA ST STE 810
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-5813
Country : US
Telephone Number : 973-704-0613
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2019
Last Update Date : 10/09/2023

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