Individual
MRS. CASSIE ANN ICENOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
6326 MARTIN WAY E STE 200, LACEY, WA 98516-5570
(360) 506-4886
(360) 878-8536
Mailing address
PO BOX 5153, LACEY, WA 98509-5153
(360) 506-4886
(360) 878-8536
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DEVDREELOO
01
—
01
—
DEVDREWLOO
01
—
Enumeration date
07/25/2018
Last updated
09/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us