Colleen Marie Cassidy, LCSW
Social Worker, Clinical in Anaheim, CA. Individual provider (NPI-1).
NPI number1619081981
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619081981
- Entity type
- Individual (NPI-1)
- Name
- Colleen Marie Cassidy
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCS19167 | CA | Yes |
Practice location
1900 E La Palma AveSuite 101
Anaheim, CA 92805-1647
Phone 714-399-3480
Mailing address
16661 Dolores St Apt BHuntington Beach, CA 92649-3341
Phone 714-840-7301
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