Provider Demographics
NPI:1588085609
Name:CASKEY, JAY ALEXANDER (MED, NCC, LPCI)
Entity type:Individual
Prefix:
First Name:JAY
Middle Name:ALEXANDER
Last Name:CASKEY
Suffix:
Gender:M
Credentials:MED, NCC, LPCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16740 DAVIDSON CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-8746
Mailing Address - Country:US
Mailing Address - Phone:704-801-9474
Mailing Address - Fax:
Practice Address - Street 1:16745 DAVIDSON-CONCORD ROAD
Practice Address - Street 2:
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036
Practice Address - Country:US
Practice Address - Phone:704-801-9474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-16
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health