Individual
MS. CASSANDRA GENNUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3176 ABBOTT RD UNIT 500, ORCHARD PARK, NY 14127-1069
(716) 822-2117
Mailing address
870 EAST AND WEST RD, WEST SENECA, NY 14224-3662
(716) 481-0017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
180011580
IL
101YM0800X
Mental Health Counselor
Primary
180011580
IL
Other
Enumeration date
08/24/2020
Last updated
10/02/2023
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