Individual
MS. NANCY T CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC CADC
Contact information
Practice address
53 DARBY RD, SUSTAINED RECOVERY LLC, PAOLI, PA 19301
(610) 585-4614
Mailing address
349 PAOLI WOODS, SUSTAINED RECOVERY LLC, PAOLI, PA 19301
(610) 585-4614
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADC7431
PA
101YM0800X
Mental Health Counselor
PC004816
PA
101YP2500X
Professional Counselor
PC004816
PA
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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