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Individual

AMY LEIGH CASSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
600 JACKSON ST, FREDERICKSBURG, VA 22401-5719
(540) 373-6876
Mailing address
10106 KENSAL WAY APT 303, SPOTSYLVANIA, VA 22553-1755
(615) 594-1346

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701012112
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0701012112
VA DEPARTMENT OF HEALTH PROGFESSIONS
VA
Enumeration date
01/24/2023
Last updated
01/24/2023
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