Individual
CASSANDRA ANNE-MARIE D'ERCOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 MORENA BLVD STE 100, SAN DIEGO, CA 92110-3850
(619) 398-0355
Mailing address
1260 MORENA BLVD STE 100, SAN DIEGO, CA 92110-3850
(619) 398-0355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
04/26/2019
Last updated
05/01/2020
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