Provider Demographics
NPI:1538105937
Name:CARDASSI, JANET (MA, LPA, LCAS)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:CARDASSI
Suffix:
Gender:F
Credentials:MA, LPA, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 HAY ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28305-5314
Mailing Address - Country:US
Mailing Address - Phone:910-485-1703
Mailing Address - Fax:910-485-4110
Practice Address - Street 1:916 HAY ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28305-5314
Practice Address - Country:US
Practice Address - Phone:910-485-1703
Practice Address - Fax:910-485-4110
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC109101YA0400X
NC1849103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist