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NPI Code Detail

MEDICARE: CASSIE FOLSOM

MEDICARE: CASSIE FOLSOM
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 Counselor

General Provider Information

NPI Number : 1720777238
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSIE FOLSOM
Provider Business Mailing Address
First Line : 1001 FAIRFIELD DR
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-4317
Country : US
Telephone Number : 989-954-4673
Fax Number :
Provider Business Practice Location Address
First Line : 1001 FAIRFIELD DR
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-4317
Country : US
Telephone Number : 989-954-4673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2023
Last Update Date : 02/26/2026

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Directions to “ CASSIE FOLSOM ” Practice Location

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