Healthcare Provider Details

I. General information

NPI: 1346733318
Provider Name (Legal Business Name): CASSANDRA RENEE QUESENBERRY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2018
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 MARKET ST
STEUBENVILLE OH
43952-2153
US

IV. Provider business mailing address

320 MARKET ST
STEUBENVILLE OH
43952-2153
US

V. Phone/Fax

Practice location:
  • Phone: 740-314-5339
  • Fax: 740-314-5527
Mailing address:
  • Phone: 740-314-5339
  • Fax: 740-314-5527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.174552
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberAPS.006621
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: