WINONA CASANOVA CDP - NPI 1366917668

Q: What is Winona Casanova's NPI number?

The NPI number for Winona Casanova is 1366917668. It was assigned to this individual provider in the NPPES registry on October 12, 2018.

Q: What is Winona Casanova's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Winona Casanova was last updated on October 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Winona Casanova Cdp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WINONA CASANOVA CDP (NPI 1366917668) is an individual addiction (substance use disorder) provider in Yelm, Washington, licensed in Washington (CP60011979) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1366917668

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameWINONA CASANOVACredential: CDP

Location Address202 CULLENS ST NWYelm, WA 98597-9417

Mailing AddressPo Box 34703Seattle, WA 98124-1703 · (206) 764-0502 · Fax (206) 764-0516

Phone(360) 400-4860

Fax(360) 400-4826

Sole ProprietorNo

Enumeration DateOctober 12, 2018

✔ NPI 1366917668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WA · CP60011979

202 CULLENS ST NW, Yelm, WA 98597

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEA MAR COMMUNITY HEALTH CENTERS

Clinic/Center (Federally Qualified Health Center (FQHC))