Provider Demographics
NPI:1841889169
Name:ARENA, CASSONDRA M (MS)
Entity type:Individual
Prefix:MRS
First Name:CASSONDRA
Middle Name:M
Last Name:ARENA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 RED HAWK DR
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02921-1531
Mailing Address - Country:US
Mailing Address - Phone:401-226-2730
Mailing Address - Fax:
Practice Address - Street 1:68 RED HAWK DR
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02921-1531
Practice Address - Country:US
Practice Address - Phone:401-226-2730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health