Christine Ann Casey
Individual provider Active NPI Counselor · Otsego, MN
NPI 1366473902 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366473902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 1020159-2-WS (MN)
- Practice address
- 8619 Obrian Ave NE
Otsego, MN 55330-7336 - Phone
- (763) 274-1779
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1020159-2-WS | MN | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1020159-2-WS | MN | Yes |
Addresses
Primary practice location
8619 Obrian Ave NE
Otsego, MN 55330-7336
Mailing address
8619 Obrian Ave NE
Otsego, MN 55330-7336
Phone (763) 274-1779
Other providers in Otsego, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.