Individual provider · Type 1 NPI

Cassidy Phelps

Mental Health Counselor · San Carlos, CA

NPI number 1831679562 Active

Practice location

610 Elm St Ste 212
San Carlos, CA 94070-3070

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1831679562

Cassidy Phelps's National Provider Identifier is 1831679562, issued on Aug 21, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Carlos, CA. The record was last updated on Aug 21, 2018.