Jay Alexander Caskey, M.ED, NCC, LPCI

Individual provider Active NPI Mental Health Counselor · Davidson, NC

NPI 1588085609 · NPPES record last updated Sep 2, 2016

Key facts

NPI
1588085609
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
16745 Davidson-Concord Road
Davidson, NC 28036
Phone
(704) 801-9474
NPI assigned
Dec 16, 2013
Sex
Male
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
Credentials
Master of Education

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

16745 Davidson-Concord Road
Davidson, NC 28036

Mailing address

16740 Davidson Concord Rd
Davidson, NC 28036-8746
Phone (704) 801-9474

Other providers in Davidson, NC

All providers in Davidson, NC · Mental Health Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.