Healthcare Provider Details

I. General information

NPI: 1255972170
Provider Name (Legal Business Name): CASSANDRA MORGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2019
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 JACOBSEN BLVD
BREMERTON WA
98310-5435
US

IV. Provider business mailing address

1701 JACOBSEN BLVD
BREMERTON WA
98310-5435
US

V. Phone/Fax

Practice location:
  • Phone: 941-357-3907
  • Fax:
Mailing address:
  • Phone: 941-357-3907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: