Healthcare Provider Details

I. General information

NPI: 1841146636
Provider Name (Legal Business Name): CASSONDRA DEL ROSARIO, LPCC PSYCHOTHERAPIST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5150 E PACIFIC COAST HWY STE 200
LONG BEACH CA
90804-3399
US

IV. Provider business mailing address

5150 E PACIFIC COAST HWY STE 200
LONG BEACH CA
90804-3399
US

V. Phone/Fax

Practice location:
  • Phone: 562-285-3542
  • Fax: 310-496-6760
Mailing address:
  • Phone: 562-285-3542
  • Fax: 310-496-6760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CASSONDRA DEL ROSARIO
Title or Position: LPCC
Credential: M.A., M.A., LPCC
Phone: 562-285-3542