Individual
CASSANDRA DEFEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3 FOREST AVE APT A, JEKYLL ISLAND, GA 31527-0786
(912) 515-5822
Mailing address
3 FOREST AVE APT A, JEKYLL ISLAND, GA 31527-0786
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007019
GA
133V00000X
Registered Dietitian
LD004284
GA
Other
Enumeration date
07/21/2020
Last updated
08/07/2025
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