Individual
CASSANDRA DIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 N PILGRIM ST, STOCKTON, CA 95205-4428
(209) 914-0542
Mailing address
1650 SEQUOIA BLVD, TRACY, CA 95376-5329
(209) 914-0542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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