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Cassondra Hiles

Counselor, Addiction (Substance Use Disorder) in Portsmouth, OH. Individual provider (NPI-1).

NPI number1265061337
StatusActive
Last updated in NPPESAug 14, 2023

Details

NPI
1265061337
Entity type
Individual (NPI-1)
Name
Cassondra Hiles
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 2, 2020
Certification date
Aug 14, 2023
Last updated
Aug 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)LCDCIII.162341OHYes
101YA0400X Counselor, Addiction (Substance Use Disorder)CDCA.171920OH
101YA0400X Counselor, Addiction (Substance Use Disorder)CDCA.175447OH
101YM0800X Counselor, Mental HealthQMHS-MASTERSOH

Practice location

1907 11th St
Portsmouth, OH 45662-4531

Phone 513-941-4999 · Fax 513-694-0168

Mailing address

6460 Harrison Ave Ste 200
Cincinnati, OH 45247-7958

Phone 513-941-4999 · Fax 513-694-0168

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