| Doctor Name: | JENNIFER CASSIDY |
| NPI Number: | 1003148800 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 0701004748 |
| Business Practice Address: | 120 Bellview Ave Winchester, VA - 22601 |
| Business Phone Number: | 5405420200 |
| Business Fax Number: | 5405420318 |
| Mailing Address: | 180 Grafton Lane, BERRYVILLE |
| State: | VA |
| Postal Code: | 22611 |
| Phone Number: | 5405420200 |
| Fax Number: | 5405420318 |
| NPI Enumeration Date: | 02/03/2010 |
| NPI Last Update Date: | 02/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0701004748 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |