Active NPIIndividual provider

Cassandra Charles-Tabacco

Counselor, Professional in Stratford, Connecticut

NPI Number1811417082
Practice location
2875 Main St, Stratford, CT 06614-4979
Fax
—
Last updated
August 6, 2026

Cassandra Charles-Tabacco is a Counselor, Professional based in Stratford, CT. Cassandra Charles-Tabacco practices in Stratford, CT. The NPI Number for Cassandra Charles-Tabacco is 1811417082 and holds a License No. 003622 (CT). The current practice location address for Cassandra Charles-Tabacco is 2875 Main St, Stratford, CT 06614-4979 and can be reached out via phone at 203-993-1722.

Provider Profile Details

NPI Number
1811417082
Provider Name
Cassandra Charles-Tabacco
Provider Entity Type
Individual
Gender
Female
Address
2875 Main St, Stratford, CT 06614-4979
Phone Number
203-993-1722
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
June 20, 2017
Last Update Date
August 6, 2026
Certification Date
August 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2875 Main St
Stratford, CT 06614-4979
Zip
06614-4979
Phone Number
203-993-1722
Stratford, CT 06614Get directions →

Provider Business Mailing Address Details

Address
2875 Main St
Stratford, CT 06614-4979
City
Stratford
State
CT
Zip
06614-4979
Phone Number
203-993-1722

License Information

License Number
003622
License State
CT
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Cassandra Charles-Tabacco?

The NPI number of Cassandra Charles-Tabacco is 1811417082. It was assigned on June 20, 2017 and is currently active in the NPPES registry.

What is the specialty of Cassandra Charles-Tabacco?

Cassandra Charles-Tabacco is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 003622.

Where does Cassandra Charles-Tabacco practice?

The practice location is 2875 Main St, Stratford, CT 06614-4979. The office can be reached at 203-993-1722 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811417082 directly on the NPPES registry website.

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