Individual provider · Type 1 NPI
Robert R. Cassidy, LICSW
Addiction (Substance Use Disorder) Counselor · Maynard, MA
NPI number
1669619664
Active
Practice location
36 Walnut St
Maynard, MA 01754-1759
Fax (978) 287-3539
Mailing address
36 Walnut St.
Maynard, MA 01754-1759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1032541 (MA) |
| Mental Health Counselor | 101YM0800X | 1032541 (MA) |
| Professional Counselor | 101YP2500X | 1032541 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1669619664
Robert R. Cassidy, LICSW's National Provider Identifier is 1669619664, issued on Jan 13, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Maynard, MA. The record was last updated on Jan 13, 2009.