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General NPI Number Information
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NPI Number | 1326319369
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Entity Type | Individual
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Provider Name | CASSANDRA M.N. BARRY MSW SUDP LICSWA
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Gender | Female
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Dates
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Enumeration Date | 01/23/2012
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 707 N PEARL ST
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City | ELLENSBURG
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State | WA
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Zip | 98926-2938
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Country | US
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Telephone | 509-925-7507
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 959
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City | YAKIMA
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State | WA
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Zip | 98907-0959
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Country | US
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Telephone | 509-575-4084
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CP60145093
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CP60145093
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SC70007859
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License Number State | WA
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