Individual
DR. CASSIDY MICHAELA VAN TREASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
00015457
CO
103TC0700X
Clinical Psychologist
00015457
CO
103TC0700X
Clinical Psychologist
Primary
PSY.0006504
CO
103TC1900X
Counseling Psychologist
00015457
CO
Other
Enumeration date
06/26/2020
Last updated
09/17/2024
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