Provider Demographics
NPI:1568881514
Name:JAMES, CASSANDRA (LPC, CAADC)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:LPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:544 N DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-1136
Mailing Address - Country:US
Mailing Address - Phone:734-769-7366
Mailing Address - Fax:734-769-7393
Practice Address - Street 1:544 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-1136
Practice Address - Country:US
Practice Address - Phone:734-769-7366
Practice Address - Fax:734-769-7393
Is Sole Proprietor?:No
Enumeration Date:2014-04-07
Last Update Date:2020-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401010880101YA0400X
MI6401018192101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)