Individual
CASSIDY BROOKING-LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9201 N 5TH ST, PHOENIX, AZ 85020-2532
(480) 882-4545
Mailing address
1310 N 2ND ST APT 2220, PHOENIX, AZ 85004-1776
(925) 360-7670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
75939
CA
1041C0700X
Clinical Social Worker
Primary
19443
AZ
1041C0700X
Clinical Social Worker
75939
CA
1041C0700X
Clinical Social Worker
LCSW75939
CA
Other
Enumeration date
10/01/2014
Last updated
10/14/2021
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