Individual provider · Type 1 NPI
Cassandra Covington Dewall, M.ED, LPC
Mental Health Counselor · Beaumont, TX
NPI number
1417567934
Active
Practice location
8150 N. Major Dr.
Beaumont, TX 77713
Mailing address
3905 Pleasant Hill Ct
Port Arthur, TX 77642-6843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 79475 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1417567934
Cassandra Covington Dewall, M.ED, LPC's National Provider Identifier is 1417567934, issued on Aug 10, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Beaumont, TX. The record was last updated on Aug 10, 2020.