Coretta Casley
Addiction Counselor (Substance Use Disorder)
424 Guyton Ct
Mullins
, South Carolina 29574-6014
Coretta Casley
Addiction Counselor (Substance Use Disorder)
424 Guyton Ct
Mullins
, South Carolina 29574-6014
(843) 423-8294
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Coretta Casley
- Po Box 1011
- Marion, SC
- Zip : 29571-1011
- Fax : (843) 423-8294
- Phone : (843) 423-8292
Second Address
- Coretta Casley
- 424 Guyton Ct
- Mullins, SC
- Zip : 29574-6014
- Fax : (843) 423-8294
- Phone : (843) 423-8292
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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 | 1003414947 |
|---|---|
| Provider Name | Coretta Casley |
| First Address | Marion, SC 29571-1011 |
| Second Address | Mullins, SC 29574-6014 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2020 |
| Last Update Date | 13/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 251S00000X | (05) | SC |
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.