Healthcare Provider Details

I. General information

NPI: 1790572386
Provider Name (Legal Business Name): CASSANDRA CHIEN PPS, APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 S VECINO DR
GLENDORA CA
91740-4109
US

IV. Provider business mailing address

725 S VECINO DR
GLENDORA CA
91740-4109
US

V. Phone/Fax

Practice location:
  • Phone: 626-852-4604
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number20584
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: