Cassondra Blackstock

NPI #1386320984 in Moseley, Virginia

Provider Information

NPI Number: 1386320984
Entity Type: Individual
Name: Cassondra Blackstock
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 27, 2023
Last Updated: Jun 27, 2023

Practice Location

Address: 16812 WARREN CREST CT
City: Moseley
State: Virginia
ZIP Code: 23120-2315
Phone: (804) 835-8970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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Organizations

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