Individual
CASSIE NICOLE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24100 CHAGRIN BLVD STE 125, BEACHWOOD, OH 44122-5535
(833) 254-3218
(800) 879-1741
Mailing address
15880 GLYNN RD, EAST CLEVELAND, OH 44112-3531
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
M.2300279
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0459582
—
OH
05
—
2871101
—
OH
Enumeration date
09/01/2021
Last updated
05/02/2024
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