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Cassandra Anne-marie D'ercole
Mental Health Counselor in San Diego, California
NPI 1962066761

Cassandra Anne-marie D'ercole is a Mental Health Counselor based in San Diego, CA and is specialized in Mental Health. Cassandra Anne-marie D'ercole practices in San Diego, CA. The NPI Number for Cassandra Anne-marie D'ercole is 1962066761 and holds a License No. (California).

The current practice location address for Cassandra Anne-marie D'ercole is 1260 Morena Blvd Ste 100, San Diego, CA and can be reached out via phone at 619-398-0355.

Location: 1260 Morena Blvd Ste 100, San Diego, CA, 92110-3850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962066761
Provider Name
Cassandra Anne-marie D'ercole
Credential
Provider Entity Type
Individual
Gender
Female
Address
1260 Morena Blvd Ste 100, San Diego, CA, 92110-3850
Phone Number
619-398-0355
Fax Number
Provider Enumeration Date
04/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1260 Morena Blvd Ste 100
City
San Diego
State
California
Zip
92110-3850
Phone Number
619-398-0355
Fax Number
person
Provider Business Mailing Address Details
Address
1260 Morena Blvd Ste 100
City
San Diego
State
California
Zip
92110-3850
Phone Number
619-398-0355
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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