Individual provider · Type 1 NPI

Casey Lee Boulet, CDCA

Addiction (Substance Use Disorder) Counselor · Mansfield, OH

NPI number 1750865242 Active

Practice location

680 Park Ave W
Mansfield, OH 44906-3706

Call (419) 528-5993 Map

Fax (567) 560-5486

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.168927 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1750865242

Casey Lee Boulet, CDCA's National Provider Identifier is 1750865242, issued on Sep 20, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mansfield, OH. The record was last updated on Jan 28, 2019.