Provider Demographics
NPI:1821419904
Name:FIELD, CASSANDRA (MA, LPC, CAC III)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:FIELD
Suffix:
Gender:F
Credentials:MA, LPC, CAC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:954 NORTH ST UNIT 308
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-3420
Mailing Address - Country:US
Mailing Address - Phone:303-818-5061
Mailing Address - Fax:
Practice Address - Street 1:954 NORTH ST UNIT 308
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-3420
Practice Address - Country:US
Practice Address - Phone:303-818-5061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-17
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7231101YA0400X
CO5764101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)