CASEY NEIDIG

JACKSONVILLE, FL
NPI1003301441
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-06-28
Last Update Date2018-06-28
Business Address
CASEY NEIDIG
590 ELLIS RD S BLDG 4
JACKSONVILLE, FL 32254-3555
Phone number: 904-800-2231
Mailing Address
CASEY NEIDIG
590 ELLIS RD S BLDG 4
JACKSONVILLE, FL 32254-3555
Phone number: 904-800-2231