Individual provider · Type 1 NPI

Cassandra Eden Untiedt, LPC

Professional Counselor · Marion, VA

NPI number 1093598286 Active

Practice location

216 Hospital Ave
Marion, VA 24354-3157

Fax (276) 783-5030

Mailing address

770 W Ridge Rd
Wytheville, VA 24382-1187

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701012744 (VA)

Professional Counselor: Definition to come...

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About NPI 1093598286

Cassandra Eden Untiedt, LPC's National Provider Identifier is 1093598286, issued on Aug 14, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Marion, VA. The record was last updated on Aug 14, 2023.