Individual
MS. CASSANDRA ATHENA GADOUAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5207 MARINE PKWY, NEW PORT RICHEY, FL 34652
(727) 505-0959
(727) 863-1343
Mailing address
5207 MARINE PKWY, NEW PORT RICHEY, FL 34652-4234
(305) 675-9200
(727) 863-1343
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH8375
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006082200
—
FL
01
—
11873080
CAQH
FL
Enumeration date
12/26/2006
Last updated
09/26/2019
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