Cassie Owen Mata, CADAC II

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Sharpsville, IN

NPI 1235859620 · NPPES record last updated Aug 29, 2022

Key facts

NPI
1235859620
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
115 Tanglewood Dr
Sharpsville, IN 46068-9296
Phone
(317) 420-1821
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

115 Tanglewood Dr
Sharpsville, IN 46068-9296

Mailing address

115 Tanglewood Dr
Sharpsville, IN 46068-9296
Phone (317) 420-1821

Other providers in Sharpsville, IN

All providers in Sharpsville, IN · Addiction (Substance Use Disorder) Counselor in Indiana

Sources for this page

Verify at the official NPI Registry.