Individual
CASSANDRA GAYLE BANGERTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 17TH AVE S, NASHVILLE, TN 37212-2203
(615) 891-2171
Mailing address
1103 17TH AVE S, NASHVILLE, TN 37212-2203
(615) 891-2171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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