Caceres-Licos, Cassendra E

Caceres-Licos, Cassendra E is an individual health care provider with primary practice located at 95 Mahalani St Rm 13 , Wailuku HI 96793-2521. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Caceres-Licos, Cassendra E can be contacted via phone (808) 442-6814.

Contact Information

Primary practice address
95 Mahalani St Rm 13 Wailuku HI 96793-2521
Phone: (808) 442-6814
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY-1886 Hawaii

Profile Details

NPI number 1700261492
LBN Legal business name Caceres-Licos, Cassendra E
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2015
Last updated Feb 11th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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