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NPI Code Detail

MEDICARE: JOANNE CASSEUS

MEDICARE:   JOANNE  CASSEUS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1164686663
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE CASSEUS
Provider Business Mailing Address
First Line : 4119 BRANDYWINE ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-1768
Country : US
Telephone Number : 718-360-7035
Fax Number :
Provider Business Practice Location Address
First Line : 4119 BRANDYWINE ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-1768
Country : US
Telephone Number : 718-360-7035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2008
Last Update Date : 07/14/2008

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Directions to “ JOANNE CASSEUS ” Practice Location

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