# CASSIE FORT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588165807
- **Gender:** F
- **Credential:** ATR, LPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | C4698 | OR | — |
| 221700000X | Art Therapist | 12-122 | OR | Yes |

## Other

- **Enumeration date:** 02/22/2018
- **Last updated:** 02/22/2018