Individual
CASSANDRA BROOKE HALDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2720 ALPHA ACCESS ST STE D, LANSING, MI 48910-3608
(269) 425-9045
Mailing address
121 VILLAGE DR, LANSING, MI 48911-3755
(269) 425-9045
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801100182
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6801100182
—
MI
Enumeration date
07/16/2019
Last updated
07/16/2019
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