Individual
CASSIE TAVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, NCC
Contact information
Practice address
233 N TOWNSEND ST, MORGANFIELD, KY 42437
(270) 389-3240
Mailing address
233 N TOWNSEND ST, MORGANFIELD, KY 42437-1436
(270) 389-3240
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
162895
KY
Other
Enumeration date
09/15/2017
Last updated
08/14/2018
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