Individual provider · Type 1 NPI

Cassondra Blackstock

Mental Health Counselor · Moseley, VA

NPI number 1386320984 Active

Practice location

16812 Warren Crest Ct
Moseley, VA 23120-2315

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1386320984

Cassondra Blackstock's National Provider Identifier is 1386320984, issued on Jun 27, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moseley, VA. The record was last updated on Jun 27, 2023.