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NPI Code Detail

MEDICARE: MR. HAROLD H CASERTA LPC

MEDICARE: MR. HAROLD H CASERTA LPC
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
1101YP2500XProfessional Counselor13383NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NONEOTHERNCNONE

General Provider Information

NPI Number : 1922659234
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HAROLD H CASERTA LPC
Provider Business Mailing Address
First Line : 1703 COUNTRY CLUB RD STE 204
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-6098
Country : US
Telephone Number : 910-347-3010
Fax Number : 910-347-6137
Provider Business Practice Location Address
First Line : 1703 COUNTRY CLUB RD STE 204
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-6098
Country : US
Telephone Number : 910-347-3010
Fax Number : 910-347-6137
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2019
Last Update Date : 09/27/2019

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