Provider Demographics
NPI:1962856195
Name:VIEAU, CASEY M
Entity Type:Individual
Prefix:MISS
First Name:CASEY
Middle Name:M
Last Name:VIEAU
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 1:302 E HOWARD ST STE 327
Mailing Address - Street 2:
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-1772
Mailing Address - Country:US
Mailing Address - Phone:218-235-1703
Mailing Address - Fax:218-440-1278
Practice Address - Street 1:101 W LAKE ST STE 204
Practice Address - Street 2:
Practice Address - City:CHISHOLM
Practice Address - State:MN
Practice Address - Zip Code:55719-1818
Practice Address - Country:US
Practice Address - Phone:218-235-1703
Practice Address - Fax:218-249-1559
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health