| Doctor Name: | MR. CASEY JOHN BABLITCH |
| NPI Number: | 1023346657 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | B.S., CSAC |
| License Number: | 15418-132 |
| Business Practice Address: | 1910 South Ave La Crosse, WI - 546015467 |
| Business Phone Number: | 6087827300 |
| Business Fax Number: | |
| Mailing Address: | 1836 South Ave, LA CROSSE |
| State: | WI |
| Postal Code: | 546015429 |
| Phone Number: | 6087827300 |
| Fax Number: | |
| NPI Enumeration Date: | 11/19/2009 |
| NPI Last Update Date: | 11/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 15418-132 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |