John Kurt Caddel, CI

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Plainview, TX

NPI 1306133327 · NPPES record last updated Dec 21, 2016

Key facts

NPI
1306133327
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
2700 Yonkers St
Plainview, TX 79072-1826
Phone
(806) 293-2636
Fax
(806) 296-5804
NPI assigned
Jun 29, 2011
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

2700 Yonkers St
Plainview, TX 79072-1826

Mailing address

2700 Yonkers St
Plainview, TX 79072-1826
Phone (806) 293-2636

Other providers in Plainview, TX

All providers in Plainview, TX · Addiction (Substance Use Disorder) Counselor in Texas

Sources for this page

Verify at the official NPI Registry.