Individual
CASSONDRA CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP, LMHCA
Contact information
Practice address
7610 40TH ST W STE 300, UNIVERSITY PLACE, WA 98466
(253) 442-5079
Mailing address
7610 40TH ST W STE 300, UNIVERSITY PLACE, WA 98466-3834
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/22/2015
Last updated
05/20/2020
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