Healthcare Provider Details

I. General information

NPI: 1194656249
Provider Name (Legal Business Name): CLARICE RENEE CASSINELLI-HUGHETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 PLACER ST
REDDING CA
96001-1170
US

IV. Provider business mailing address

1035 PLACER ST
REDDING CA
96001-1170
US

V. Phone/Fax

Practice location:
  • Phone: 530-229-5149
  • Fax: 530-244-4278
Mailing address:
  • Phone: 530-229-5149
  • Fax: 530-244-4278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberRI1418630526
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: