Individual provider · Type 1 NPI
Cassie Ann Icenogle, LMHC
Mental Health Counselor · Lacey, WA
NPI number
1891272506
Active
Practice location
6326 Martin Way E Ste 200
Lacey, WA 98516-5570
Fax (360) 878-8536
Mailing address
PO Box 5153
Lacey, WA 98509-5153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1891272506
Cassie Ann Icenogle, LMHC's National Provider Identifier is 1891272506, issued on Jul 25, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lacey, WA. The record was last updated on Sep 8, 2021.