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Individual

JESSACA ANN CASSADY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LAC

Contact information

Practice address
1328 COUNTY ROAD 501, BAYFIELD, CO 81122
(970) 903-3354
(970) 884-5004
Mailing address
3696 COUNTY ROAD 502, BAYFIELD, CO 81122-9016
(970) 903-3354
(970) 884-5004

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD-0639
CO
1041C0700X
Clinical Social Worker
Primary
CSW-1610
CO

Other

Enumeration date
07/26/2010
Last updated
12/01/2022
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