Provider Demographics
NPI:1821728783
Name:CHARALAMBAKIS, CASSANDRA EMILY (MS, CRC, LCMHCA)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:EMILY
Last Name:CHARALAMBAKIS
Suffix:
Gender:F
Credentials:MS, CRC, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 LEIGH FARM RD APT 214
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-8146
Mailing Address - Country:US
Mailing Address - Phone:859-457-5694
Mailing Address - Fax:
Practice Address - Street 1:314 CLOISTER CT
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2276
Practice Address - Country:US
Practice Address - Phone:859-457-5694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17624101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health