IndividualActive
Casey Shook, LSAA
NPI 1811759129 · Addiction (Substance Use Disorder) Counselor · Deming, NM
Provider details
- NPI number
- 1811759129
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LSAA
- Sex
- Male
- Sole proprietor
- No
- License
- CTB-2023-0683 (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
112 S Gold Ave
Deming, NM 88030-3704
Phone: (779) 245-4928
Approximate (ZIP-level) locationGet directions
Mailing address
112 S Gold Ave
Deming, NM 88030-3704
Registry dates
- Enumerated
- 2024-01-23
- Last updated
- 2024-01-23
- Certified
- 2023-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.