Individual provider · Type 1 NPI
Cassandra Anne-Marie D'ercole
Mental Health Counselor · San Diego, CA
NPI number
1962066761
Active
Practice location
1260 Morena Blvd Ste 100
San Diego, CA 92110-3850
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1962066761
Cassandra Anne-Marie D'ercole's National Provider Identifier is 1962066761, issued on Apr 26, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on May 1, 2020.