Individual
MARY BETH CASSIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10 N MAIN ST, BURNSVILLE, NC 28714-2925
(828) 682-1551
Mailing address
PO BOX 1446, BURNSVILLE, NC 28714-1446
(828) 675-4695
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3817
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136EY
BLUE CROSS BLUE SHIELD
NC
05
—
6102138
—
NC
Enumeration date
06/07/2006
Last updated
03/06/2008
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