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NPI Code Detail

MEDICARE: CASSANDRA DONALDSON MS, MSW, CMHT

MEDICARE: CASSANDRA DONALDSON MS, MSW, CMHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMS

General Provider Information

NPI Number : 1316300627
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA DONALDSON MS, MSW, CMHT
Provider Business Mailing Address
First Line : 2504 BROWNING ROAD 520
Second Line :
City : GREENWOOD
State : MS
Zip : 38930-6022
Country : US
Telephone Number : 662-453-6211
Fax Number : 662-453-2558
Provider Business Practice Location Address
First Line : 2504 BROWNING ROAD 520
Second Line :
City : GREENWOOD
State : MS
Zip : 38930-6022
Country : US
Telephone Number : 662-453-6211
Fax Number : 662-453-2558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2016
Last Update Date : 06/07/2026

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