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Cassandra Louise Larussa, LAC
Counselor in Gilbert, Arizona
NPI 1407508062

Cassandra Louise Larussa is a Counselor based in Phoenix, AZ. Cassandra Louise Larussa practices in Gilbert, AZ and has the professional credentials of LAC. The NPI Number for Cassandra Louise Larussa is 1407508062 and holds a License No. LAC-20383 (Arizona).

The current practice location address for Cassandra Louise Larussa is 2517 S Ponderosa Dr, Gilbert, AZ and can be reached out via phone at 480-242-4193.

Location: 2517 S Ponderosa Dr, Gilbert, AZ, 85085-4706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407508062
Provider Name
Cassandra Louise Larussa
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
2517 S Ponderosa Dr, Gilbert, AZ, 85085-4706
Phone Number
480-242-4193
Fax Number
Provider Enumeration Date
01/24/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60110447 05 AZ
institution
Provider Business Practice Location Address Details
Address
2517 S Ponderosa Dr
City
Gilbert
State
Arizona
Zip
85295-1596
Phone Number
480-242-4193
Fax Number
person
Provider Business Mailing Address Details
Address
2517 S Ponderosa Dr
City
Gilbert
State
Arizona
Zip
85295-1596
Phone Number
480-242-4193
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LAC-20383 (Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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