Casey James Shook, LSAA
NPI #1811759129 in Deming, New Mexico
Provider Information
- NPI Number
- 1811759129
- Entity Type
- Individual
- Name
- Casey James Shook, LSAA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LSAA
- Enumeration Date
- Jan 23, 2024
- Last Updated
- Jan 23, 2024
Practice Location
- Address
- 112 S GOLD AVE
- City
- Deming
- State
- New Mexico
- ZIP Code
- 88030-3704
- Phone
- (779) 245-4928
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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