MEDICARE: CASSONDRA DEL ROSARIO, LPCC PSYCHOTHERAPIST

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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1841146636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASSONDRA DEL ROSARIO, LPCC PSYCHOTHERAPIST

Provider Business Mailing Address
First Line	:	5150 E PACIFIC COAST HWY STE 200
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-3399
Country	:	US
Telephone Number	:	562-285-3542
Fax Number	:	310-496-6760

Provider Business Practice Location Address
First Line	:	5150 E PACIFIC COAST HWY STE 200
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-3399
Country	:	US
Telephone Number	:	562-285-3542
Fax Number	:	310-496-6760

Authorized Official
Title or Position	:	LPCC
Name	:	MS. CASSONDRA DEL ROSARIO
Credential	:	M.A., M.A., LPCC
Telephone Number	:	562-285-3542

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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