Provider Demographics
NPI:1619508314
Name:SEYMOUR, CASSAUNDRA RAE (CDCA)
Entity Type:Individual
Prefix:MRS
First Name:CASSAUNDRA
Middle Name:RAE
Last Name:SEYMOUR
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 S PAINT ST
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-3238
Mailing Address - Country:US
Mailing Address - Phone:740-656-2050
Mailing Address - Fax:
Practice Address - Street 1:38 S PAINT ST
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-3238
Practice Address - Country:US
Practice Address - Phone:740-656-2050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)