Casey E Fickardt in Paradise - Mental Health

Casey E Fickardt - NPI 1275682197

Casey E Fickardt is a Mental Health in Paradise, California. Casey E Fickardt practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Casey E Fickardt is 1275682197. The last update date is 2007-07-08.

Casey E Fickardt's current location address is 1090 Shadowbrook Way #9, Paradise, California. You can contact this provider via phone number 5308775623 and fax number 5308956549. The mailing address for Casey E Fickardt is 1090 Shadowbrook Way #9, Paradise, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Casey E Fickardt
Address 1090 Shadowbrook Way #9, Paradise, California
Phone Number 5308775623
Fax Number 5308956549
Sole Proprietor N
Credentials ASW

NPI Number Detail

NPI Number 1275682197
Provider Enumeration Date 2007-01-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1090 Shadowbrook Way #9
City Paradise
State California (CA)
Post Code 95969
Phone Number 5308775623
Fax Number 5308956549

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 20409
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ASW #20409 CA BOARD OF BEHAVIORAL SCIEN

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FAQs about Casey E Fickardt

What is the unique 10-digit identifier code issued to Casey E Fickardt by the Centers for Medicare & Medicaid Services?

The Casey E Fickardt has been assigned the NPI (National Provider Identifier) 1275682197 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Casey E Fickardt's facilities are geographically located?

The facilities of Casey E Fickardt are physically situated at the following location: 1090 Shadowbrook Way #9, Paradise, CA, 95969.

What is the Casey E Fickardt's area of specialization and corresponding taxonomy classification?

The Casey E Fickardt's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.

On what date was the 1275682197 assigned to Casey E Fickardt?

The Casey E Fickardt was issued its 1275682197 on 2007-01-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Casey E Fickardt last refreshed?

The information related to the Casey E Fickardt, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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