Casey Neidig
Addiction Counselor (Substance Use Disorder)
590 Ellis Rd S Bldg 4
Jacksonville
, Florida 32254-3555
Casey Neidig
Addiction Counselor (Substance Use Disorder)
590 Ellis Rd S Bldg 4
Jacksonville
, Florida 32254-3555
(904) 800-2231
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Casey Neidig
- 590 Ellis Rd S Bldg 4
- Jacksonville, FL
- Zip : 32254-3555
- Phone : (904) 800-2231
Second Address
- Casey Neidig
- 590 Ellis Rd S Bldg 4
- Jacksonville, FL
- Zip : 32254-3555
- Phone : (904) 800-2231
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
National Provider Identifier
| NPI | 1003301441 |
|---|---|
| Provider Name | Casey Neidig |
| First Address | Jacksonville, FL 32254-3555 |
| Second Address | Jacksonville, FL 32254-3555 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2018 |
| Last Update Date | 28/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.