Cassandra Ann Clark in Davenport - Mental Health
Cassandra Ann Clark - NPI 1114040979
Cassandra Ann Clark is a Mental Health in Davenport, Washington. Cassandra Ann Clark practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Cassandra Ann Clark is 1114040979. The last update date is 2007-07-08.
Cassandra Ann Clark's current location address is 49 Park Street, Davenport, Washington. You can contact this provider via phone number 5097254900 and fax number 5097254901. The mailing address for Cassandra Ann Clark is 49 Park Street, Davenport, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cassandra Ann Clark |
|---|---|
| Address | 49 Park Street, Davenport, Washington |
| Phone Number | 5097254900 |
| Fax Number | 5097254901 |
| Sole Proprietor | N |
| Credentials | B.A. |
NPI Number Detail
| NPI Number | 1114040979 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 49 Park Street |
|---|---|
| City | Davenport |
| State | Washington (WA) |
| Post Code | 991220421 |
| Phone Number | 5097254900 |
| Fax Number | 5097254901 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | RC00023755 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identifier code issued to Cassandra Ann Clark by the Centers for Medicare & Medicaid Services?
The Cassandra Ann Clark has been assigned the NPI (National Provider Identifier) 1114040979 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Cassandra Ann Clark?
The Cassandra Ann Clark is situated at 49 Park Street, in the city of Davenport, state of WA, with the zip code 991220421.
What is the Cassandra Ann Clark's area of specialization and corresponding taxonomy classification?
The Cassandra Ann Clark's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
When did the Cassandra Ann Clark receive its 1114040979?
The Cassandra Ann Clark was issued its 1114040979 on 2007-04-09, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Cassandra Ann Clark last refreshed?
The information related to the Cassandra Ann Clark, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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