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Individual

MS. CASSANDRA JOANNE ROYAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC, CPCS, CCM

Contact information

Practice address
2146 CLARK ST SW, COVINGTON, GA 30014-2231
(678) 532-7415
Mailing address
35 CROSSBILL TRL, COVINGTON, GA 30014-7658
(678) 532-7415

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
021298
OH
101YM0800X
Mental Health Counselor
Primary
LPC00931
GA
171M00000X
Case Manager/Care Coordinator
OH

Other

Enumeration date
02/21/2007
Last updated
10/12/2021
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