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NPI Code Detail

MEDICARE: CASSANDRA ANN CHATMAN

MEDICARE:   CASSANDRA ANN CHATMAN
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
1172V00000XCommunity Health Worker
2390200000XStudent in an Organized Health Care Education/Training Program
3171M00000XCase Manager/Care Coordinator
4106H00000XMarriage & Family TherapistAMFT149271CA

General Provider Information

NPI Number : 1851082234
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA ANN CHATMAN
Provider Business Mailing Address
First Line : 1667 S MISSION RD STE C
Second Line :
City : FALLBROOK
State : CA
Zip : 92028-4119
Country : US
Telephone Number : 760-286-7774
Fax Number :
Provider Business Practice Location Address
First Line : 1667 S MISSION RD STE C
Second Line :
City : FALLBROOK
State : CA
Zip : 92028-4119
Country : US
Telephone Number : 760-286-7774
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2023
Last Update Date : 04/16/2026

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Directions to “ CASSANDRA ANN CHATMAN ” Practice Location

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