Individual
MS. CASSANDRA BESTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1542 WILD GOOSE RUN, SAINT CHARLES, MO 63303-2503
(515) 783-8719
Mailing address
907 W MARKETVIEW DR STE 10, CHAMPAIGN, IL 61822-1250
(217) 262-9975
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
09028
IA
104100000X
Social Worker
007999
IA
1041C0700X
Clinical Social Worker
Primary
149.018979
IL
Other
Enumeration date
08/09/2011
Last updated
07/10/2021
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