Individual
CASSANDRA COVINGTON DEWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
8150 N. MAJOR DR., BEAUMONT, TX 77713
(409) 898-0020
Mailing address
3905 PLEASANT HILL CT, PORT ARTHUR, TX 77642-6843
(409) 718-1197
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
79475
TX
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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