Individual
MRS. COLETTE A CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
580 WHITE PLAINS RD, TARRYTOWN, NY 10591-5198
(914) 345-5900
Mailing address
580 WHITE PLAINS RD, TARRYTOWN, NY 10591-5198
(914) 345-5900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011411
NY
101YM0800X
Mental Health Counselor
100569
NY
Other
Enumeration date
03/09/2020
Last updated
06/14/2021
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