Individual
CASSANDRA DETGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5252 ORANGE AVE UNIT 125, SAN DIEGO, CA 92115-6029
(330) 204-3256
Mailing address
5252 ORANGE AVE UNIT 125, SAN DIEGO, CA 92115-6029
(330) 204-3256
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7432
CA
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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