Provider Demographics
NPI:1790911493
Name:CASCIOLI, NANCY L (LMFT)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:L
Last Name:CASCIOLI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43218 BUSINESS PARK DR STE 101
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-3601
Mailing Address - Country:US
Mailing Address - Phone:951-746-6855
Mailing Address - Fax:951-301-6168
Practice Address - Street 1:43218 BUSINESS PARK DR STE 101
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-3601
Practice Address - Country:US
Practice Address - Phone:951-746-6855
Practice Address - Fax:951-301-6168
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-08
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44612101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional