Victoria Cassella, MHRT-CSP

Individual provider Active NPI Mental Health Counselor · Machias, ME

NPI 1275930794 · NPPES record last updated Nov 26, 2014

Key facts

NPI
1275930794
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1 Stackpole Dr
Machias, ME 04654-7000
Phone
(207) 255-0996
Fax
(207) 255-8748
NPI assigned
Nov 26, 2014
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
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1 Stackpole Dr
Machias, ME 04654-7000

Mailing address

1 Stackpole Dr
Machias, ME 04654-7000
Phone (207) 255-0996

Other identifiers

IdentifierTypeStateIssuer
1275930794MedicaidME

Other providers in Machias, ME

All providers in Machias, ME · Mental Health Counselor in Maine

Sources for this page

Verify at the official NPI Registry.