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Casandra Nieves
Mental Health Counselor in Santa Cruz, California
NPI 1447771936

Casandra Nieves is a Mental Health Counselor based in Santa Cruz, CA and is specialized in Mental Health. Casandra Nieves practices in Santa Cruz, CA. The NPI Number for Casandra Nieves is 1447771936 and holds a License No. (California).

The current practice location address for Casandra Nieves is 303 Potrero St Ste 102, Santa Cruz, CA and can be reached out via phone at 831-466-9307 and via fax at 831-466-9748.

Location: 303 Potrero St Ste 102, Santa Cruz, CA, 95060-2779
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447771936
Provider Name
Casandra Nieves
Credential
Provider Entity Type
Individual
Gender
Female
Address
303 Potrero St Ste 102, Santa Cruz, CA, 95060-2779
Phone Number
831-466-9307
Fax Number
831-466-9748
Provider Enumeration Date
07/05/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
96985846C97073 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
303 Potrero St Ste 102
City
Santa Cruz
State
California
Zip
95060-2741
Phone Number
831-466-9307
Fax Number
831-466-9748
person
Provider Business Mailing Address Details
Address
303 Potrero St Ste 102
City
Santa Cruz
State
California
Zip
95060-2741
Phone Number
831-466-9307
Fax Number
831-466-9748
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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