Individual
CASSANDRA MARIE CASEY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-II
Contact information
Practice address
17 HOSPITAL DR, MASSENA, NY 13662-1093
(315) 705-6564
Mailing address
17 HOSPITAL DR, MASSENA, NY 13662-1093
(315) 705-6564
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31437
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31437
—
NY
Enumeration date
12/21/2021
Last updated
12/21/2021
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