Individual
CASSANDRA LARUSSA CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2577 E DONATO DR, GILBERT, AZ 85298-8490
(480) 242-4193
Mailing address
27818 N 24TH LN, PHOENIX, AZ 85085-4706
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-24006
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60110447
—
AZ
Enumeration date
01/24/2022
Last updated
07/18/2025
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