Provider Demographics
NPI:1679344949
Name:WEHSELER, CASSANDRA RAE (LGSW)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:RAE
Last Name:WEHSELER
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:
Other - Last Name:PIKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6068 56TH AVE S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-5696
Mailing Address - Country:US
Mailing Address - Phone:701-351-8041
Mailing Address - Fax:
Practice Address - Street 1:1330 PAGE DR S STE 101
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-3551
Practice Address - Country:US
Practice Address - Phone:701-300-8879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health