=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841146636
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CASSONDRA DEL ROSARIO, LPCC PSYCHOTHERAPIST
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/05/2026
-----------------------------------------------------
Last Update Date | 03/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5150 E PACIFIC COAST HWY STE 200
-----------------------------------------------------
City | LONG BEACH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90804-3399
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-285-3542
-----------------------------------------------------
Fax | 310-496-6760
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5150 E PACIFIC COAST HWY STE 200
-----------------------------------------------------
City | LONG BEACH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90804-3399
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-285-3542
-----------------------------------------------------
Fax | 310-496-6760
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LPCC
-----------------------------------------------------
Name | MS. CASSONDRA DEL ROSARIO
-----------------------------------------------------
Credential | M.A., M.A., LPCC
-----------------------------------------------------
Telephone | 562-285-3542
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------