CASSANDRA RENE COLOSIMO NPI 1720593833

NPI Information

NPI: 1720593833
Provider Name: CASSANDRA RENE COLOSIMO
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2734 OAK RIDGE CT
FORT MYERS, FL
ZIP 33901
Phone: (239) 963-4367
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Cassandra Rene Colosimo is a mental health counselor in Fort Myers, FL. Cassandra Rene Colosimo NPI is 1720593833. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2734 OAK RIDGE CT
FORT MYERS, FL
ZIP 33901-369
Phone: (239) 963-4367

The enumeration date for this NPI number is 12/12/2017 and was last updated on 5/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes
2	106S00000X	Behavior Technician				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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