| Doctor Name: | MR. JOHNNY G CASADY |
| NPI Number: | 1306921903 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPCC |
| License Number: | 0080341 |
| Business Practice Address: | 300 East 1st Street Portales, NM - 88130 |
| Business Phone Number: | 5053591221 |
| Business Fax Number: | 5053591075 |
| Mailing Address: | 382 S Roosevelt Road R 1/2, PORTALES |
| State: | NM |
| Postal Code: | 881309015 |
| Phone Number: | 5057604103 |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2006 |
| NPI Last Update Date: | 02/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0080341 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |