Provider Demographics
NPI:1811416803
Name:OGDEN, CASSAUNDRA LOUISE (LPC)
Entity Type:Individual
Prefix:
First Name:CASSAUNDRA
Middle Name:LOUISE
Last Name:OGDEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 RIVERBOAT ROW APT G7
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:KY
Mailing Address - Zip Code:41071-1035
Mailing Address - Country:US
Mailing Address - Phone:859-905-7316
Mailing Address - Fax:
Practice Address - Street 1:100 RIVERBOAT ROW APT G7
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41071-1035
Practice Address - Country:US
Practice Address - Phone:859-905-7316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-12
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1700562-TRNE101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health