Provider Demographics
NPI:1689968604
Name:CASKEY, RITA C
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:C
Last Name:CASKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9852
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93389-1852
Mailing Address - Country:US
Mailing Address - Phone:661-330-1740
Mailing Address - Fax:
Practice Address - Street 1:28065 CARLYLE SPRINGS RD
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:CA
Practice Address - Zip Code:93531-1309
Practice Address - Country:US
Practice Address - Phone:661-330-1740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD6684892101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor