Individual
CARLY A CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 E SOUTH BOULDER RD # D326, LAFAYETTE, CO 80026-2917
(425) 829-8132
Mailing address
2180 SQUAK MOUNTAIN LOOP SW, ISSAQUAH, WA 98027-4416
(425) 829-8132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPCC.0018109
CO
101YM0800X
Mental Health Counselor
Primary
MC61477354
WA
Other
Enumeration date
08/30/2023
Last updated
01/11/2024
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