Cordova, Cassondra

Cordova, Cassondra is an individual health care provider with primary practice located at 7610 40Th St W Ste 300 , University Place WA 98466. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Cordova, Cassondra can be contacted via phone (253) 442-5079.

Contact Information

Primary practice address
7610 40Th St W Ste 300 University Place WA 98466
Phone: (253) 442-5079
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1619356797
LBN Legal business name Cordova, Cassondra
Credentials MHP, LMHCA
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2015
Last updated May 20th, 2020 - 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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