Individual provider · Type 1 NPI
Cassandra Larussa Cisneros, LPC
Counselor · Gilbert, AZ
NPI number
1407508062
Active
Practice location
2577 E Donato Dr
Gilbert, AZ 85298-8490
Mailing address
27818 N 24th Ln
Phoenix, AZ 85085-4706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | LPC-24006 (AZ) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1407508062
Cassandra Larussa Cisneros, LPC's National Provider Identifier is 1407508062, issued on Jan 24, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Gilbert, AZ. The record was last updated on Sep 29, 2026.