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NPI Code Detail

MEDICARE: CASSANDRA DAWN SIMPSON LPCC

MEDICARE:   CASSANDRA DAWN SIMPSON  LPCC
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
1101Y00000XCounselor
2101YM0800XMental Health Counselor104204KY

General Provider Information

NPI Number : 1538459029
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA DAWN SIMPSON LPCC
Provider Business Mailing Address
First Line : 2901 PIGEON ROOST RD
Second Line :
City : RUSH
State : KY
Zip : 41168-8132
Country : US
Telephone Number : 606-928-6648
Fax Number : 606-928-1056
Provider Business Practice Location Address
First Line : 835 CENTRAL AVE
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7423
Country : US
Telephone Number : 606-547-4400
Fax Number : 606-547-4180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2011
Last Update Date : 05/18/2023

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Directions to “ CASSANDRA DAWN SIMPSON LPCC” Practice Location

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