Individual provider · Type 1 NPI

Cassandra D. Tagge

Mental Health Counselor · Los Osos, CA

NPI number 1104064229 Active

Practice location

837 San Luis Ave
Los Osos, CA 93402-2756

Mailing address

3765 S Higuera St, Ste 100
San Luis Obispo, CA 93401-1570

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104064229

Cassandra D. Tagge's National Provider Identifier is 1104064229, issued on Jan 27, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Osos, CA. The record was last updated on Jan 27, 2009.